Provider Demographics
NPI:1497268486
Name:LEHR, SANDRA (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:
Last Name:LEHR
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 1:2964 ESSEX RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3534
Mailing Address - Country:US
Mailing Address - Phone:440-864-4090
Mailing Address - Fax:
Practice Address - Street 1:2964 ESSEX RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3534
Practice Address - Country:US
Practice Address - Phone:440-864-4090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-16-22416103K00000X
COBA.294103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst