Laurice A. Seely, MS, BCBA

Individual provider Active NPI Behavior Analyst · Nipomo, CA

NPI 1659008902 · NPPES record last updated Aug 5, 2022

Key facts

NPI
1659008902
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-22-57842
Practice address
233 Crosby Way
Nipomo, CA 93444-8807
Phone
(760) 791-6935
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Behavior Consulting Behavior Analyst Current
since Feb 4, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-22-57842 Yes

Addresses

Primary practice location

233 Crosby Way
Nipomo, CA 93444-8807

Mailing address

233 Crosby Way
Nipomo, CA 93444-8807
Phone (760) 791-6935

Other providers in Nipomo, CA

All providers in Nipomo, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.