Provider Demographics
NPI:1407219934
Name:FIGUEROA, LESLIE RUBY (BCBA)
Entity Type:Individual
Prefix:MISS
First Name:LESLIE
Middle Name:RUBY
Last Name:FIGUEROA
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 1:544 S KERN AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90022-1814
Mailing Address - Country:US
Mailing Address - Phone:323-379-6408
Mailing Address - Fax:
Practice Address - Street 1:544 S KERN AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90022-1814
Practice Address - Country:US
Practice Address - Phone:323-379-6408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1-15-19567103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst