Individual
LISA MARIE CHENEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LEP, BCBA
Contact information
Practice address
1811 GRAND CANAL BLVD STE 3, STOCKTON, CA 95207-8107
(209) 800-1718
Mailing address
1811 GRAND CANAL BLVD STE 3, STOCKTON, CA 95207-8107
(209) 800-1718
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
LEP3902
CA
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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