Leillanie Delacruz, BCBA

Individual provider Active NPI Behavior Analyst · Flanders, NJ

NPI 1528601978 · NPPES record last updated Mar 13, 2023

Key facts

NPI
1528601978
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
11 Schoolhouse LN
Flanders, NJ 07836-4002
Phone
(201) 210-9913
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193400000X SINGLE SPECIALTY GROUP
103K00000X Yes

Addresses

Primary practice location

11 Schoolhouse LN
Flanders, NJ 07836-4002

Mailing address

11 Schoolhouse LN
Flanders, NJ 07836-4002
Phone (201) 210-9913

Other providers in Flanders, NJ

All providers in Flanders, NJ · Behavior Analyst in New Jersey

Sources for this page

Verify at the official NPI Registry.