Provider Demographics
NPI:1093179384
Name:KRON, AMBERLEE (MA, BCBA)
Entity type:Individual
Prefix:
First Name:AMBERLEE
Middle Name:
Last Name:KRON
Suffix:
Gender:F
Credentials:MA, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4205 RYAN ST BOX 91895
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70609-1895
Mailing Address - Country:US
Mailing Address - Phone:337-562-4246
Mailing Address - Fax:337-562-4221
Practice Address - Street 1:4205 RYAN ST BOX 91895
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70609-1895
Practice Address - Country:US
Practice Address - Phone:337-562-4246
Practice Address - Fax:337-562-4221
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-145103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst