Leyva, Lisette Lorraine
Leyva, Lisette Lorraine is an individual health care provider with primary practice located at 126 Pavilion Pkwy , Fayetteville GA 30214-4056. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Leyva, Lisette Lorraine can be contacted via phone (770) 954-8988.Contact Information
Primary practice address
126 Pavilion Pkwy
Fayetteville GA 30214-4056
Phone: (770) 954-8988
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-12-11595 | Georgia |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BEH-001157 | Arizona |
Profile Details
| NPI number | 1972867646 |
|---|---|
| LBN Legal business name | Leyva, Lisette Lorraine |
| Credentials | MA, BCBA, LBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2012 |
| Last updated | Jun 6th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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