Provider Demographics
NPI:1104633130
Name:SALEH, LAILA (BCBA)
Entity type:Individual
Prefix:MRS
First Name:LAILA
Middle Name:
Last Name:SALEH
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7108 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-7462
Mailing Address - Country:US
Mailing Address - Phone:185-583-2672
Mailing Address - Fax:
Practice Address - Street 1:15910 FRASER HWY
Practice Address - Street 2:353
Practice Address - City:SURREY
Practice Address - State:BC
Practice Address - Zip Code:V4N0X9
Practice Address - Country:CA
Practice Address - Phone:604-600-2477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst