Provider Demographics
NPI:1104613751
Name:LANIER, ALEXANDER PERES (MA, BCBA)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:PERES
Last Name:LANIER
Suffix:
Gender:
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 1:18505 SE NEWPORT WAY UNIT C215
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-9034
Mailing Address - Country:US
Mailing Address - Phone:425-999-1453
Mailing Address - Fax:
Practice Address - Street 1:600 NW GILMAN BLVD STE E
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2445
Practice Address - Country:US
Practice Address - Phone:425-999-1453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst