Provider Demographics
NPI:1144757824
Name:ARCE PINEDA, LINDSAY (BCBA)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:ARCE PINEDA
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 1:12148 HART ST APT 405
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-6625
Mailing Address - Country:US
Mailing Address - Phone:323-877-6989
Mailing Address - Fax:323-372-3970
Practice Address - Street 1:2139 S CLOVERDALE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016-1211
Practice Address - Country:US
Practice Address - Phone:323-877-6989
Practice Address - Fax:323-372-3970
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-20-42777103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1952989196OtherNPI 2