Provider Demographics
NPI:1528601978
Name:DELACRUZ, LEILLANIE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:LEILLANIE
Middle Name:
Last Name:DELACRUZ
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 1:11 SCHOOLHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:FLANDERS
Mailing Address - State:NJ
Mailing Address - Zip Code:07836-4002
Mailing Address - Country:US
Mailing Address - Phone:201-210-9913
Mailing Address - Fax:
Practice Address - Street 1:11 SCHOOLHOUSE LN
Practice Address - Street 2:
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-4002
Practice Address - Country:US
Practice Address - Phone:201-210-9913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty