Individual provider · Type 1 NPI
Tracy Lebaron, BCBA
Community/Behavioral Health Agency · Elizabeth, NJ
Practice location
80 W Grand St
Elizabeth, NJ 07202-1471
Mailing address
703 Tower Dr
Edgewater, NJ 07020-2211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | 1-14-15844 (NJ) |
Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…
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About NPI 1922616846
Tracy Lebaron, BCBA's National Provider Identifier is 1922616846, issued on Jul 16, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Elizabeth, NJ. The record was last updated on Jul 16, 2020.