Provider Demographics
NPI:1215488176
Name:COBBS-HAYES, LAKEYSHA L (BCBA)
Entity type:Individual
Prefix:MRS
First Name:LAKEYSHA
Middle Name:L
Last Name:COBBS-HAYES
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:14083 YORKTOWN CT
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-3545
Mailing Address - Country:US
Mailing Address - Phone:951-660-4862
Mailing Address - Fax:
Practice Address - Street 1:9333 BASELINE RD STE 290
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1300
Practice Address - Country:US
Practice Address - Phone:909-681-2432
Practice Address - Fax:951-346-3640
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-16-23436103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst