Provider Demographics
NPI:1669908257
Name:SIMS-MORALES, LAKEITHA (BCBA)
Entity type:Individual
Prefix:
First Name:LAKEITHA
Middle Name:
Last Name:SIMS-MORALES
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 1:10013 THORNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71106-7648
Mailing Address - Country:US
Mailing Address - Phone:318-716-8232
Mailing Address - Fax:
Practice Address - Street 1:5959 TOPANGA CANYON BLVD STE 125
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-7598
Practice Address - Country:US
Practice Address - Phone:318-716-8323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-03
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-25-83408103K00000X
106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst