Provider Demographics
NPI:1396216305
Name:ABRAMS, LA'SHARAE (BCBA)
Entity type:Individual
Prefix:
First Name:LA'SHARAE
Middle Name:
Last Name:ABRAMS
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:PO BOX 137742
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34713-7742
Mailing Address - Country:US
Mailing Address - Phone:980-989-3292
Mailing Address - Fax:
Practice Address - Street 1:131 W INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4338
Practice Address - Country:US
Practice Address - Phone:980-305-8780
Practice Address - Fax:980-892-0404
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC661103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst