Provider Demographics
NPI:1578008595
Name:NEGRETE-TUY, LESSLY (BCBA)
Entity Type:Individual
Prefix:
First Name:LESSLY
Middle Name:
Last Name:NEGRETE-TUY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LESSLY
Other - Middle Name:ANHET
Other - Last Name:NEGRETE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 W TOWN AND COUNTRY RD STE 1250
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4633
Mailing Address - Country:US
Mailing Address - Phone:657-331-4551
Mailing Address - Fax:657-331-4557
Practice Address - Street 1:1100 W TOWN AND COUNTRY RD STE 1250
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4633
Practice Address - Country:US
Practice Address - Phone:657-331-4551
Practice Address - Fax:657-331-4557
Is Sole Proprietor?:No
Enumeration Date:2016-12-29
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst