Provider Demographics
NPI:1013648971
Name:DUMAS, LERA (BCBA)
Entity Type:Individual
Prefix:
First Name:LERA
Middle Name:
Last Name:DUMAS
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 SCRANTON RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-1927
Mailing Address - Country:US
Mailing Address - Phone:912-275-8697
Mailing Address - Fax:912-483-0446
Practice Address - Street 1:650 SCRANTON RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-1927
Practice Address - Country:US
Practice Address - Phone:912-275-8697
Practice Address - Fax:912-483-0446
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty