Individual provider · Type 1 NPI

Lum Bongwi Shu Lentina

Behavior Analyst · San Gabriel, CA

NPI number 1174417208 Active

Practice location

515 E Fairview Ave Bldg K
San Gabriel, CA 91776-3040

Mailing address

2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1174417208

Lum Bongwi Shu Lentina's National Provider Identifier is 1174417208, issued on Jun 4, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in San Gabriel, CA. The record was last updated on Feb 10, 2026.