Leimalyn Inong-Realina Lam, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2230 Longport CT Ste 130
Elk Grove, CA 95758-7182

Phone

(866) 523-4268

NPI assigned

Jun 19, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Leimalyn Inong Realina Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1992187512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 22763",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911852763",
            "telephone_number": "866-523-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LONGPORT CT STE 130",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587182",
            "telephone_number": "866-523-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "LEIMALYN",
        "middle_name": "INONG-REALINA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIMALYN",
            "last_name": "REALINA",
            "middle_name": "INONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Liza Lal, MA
• Pravesh Praneet Lal
• Riya Nidhi Lal
• Sheenal Sonia Lal
• Doug Lam
• Lisa Lam, PHARMD
• Lucille Lam, D.D.S.
• Wingsze Lam, MS, BCBA
• Hunter H Lambert
• Michael Lambert

• Behavior Analyst in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.