Provider Demographics
NPI:1386952935
Name:PRICE, LEIGH ANNE (BCBA)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANNE
Last Name:PRICE
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 1:2221 ROCHELLE AVE
Mailing Address - Street 2:
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-1622
Mailing Address - Country:US
Mailing Address - Phone:209-648-5642
Mailing Address - Fax:
Practice Address - Street 1:2221 ROCHELLE AVE
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-1622
Practice Address - Country:US
Practice Address - Phone:209-648-5642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-02-0908103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst