Provider Demographics
NPI:1750536181
Name:PEARSON-DOBROSKY, LEIGHSSA CHRISTINE (MED, BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:LEIGHSSA
Middle Name:CHRISTINE
Last Name:PEARSON-DOBROSKY
Suffix:
Gender:F
Credentials:MED, BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6134
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85376-6134
Mailing Address - Country:US
Mailing Address - Phone:480-620-6499
Mailing Address - Fax:623-455-9828
Practice Address - Street 1:16493 W YUCATAN DR
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85388-6013
Practice Address - Country:US
Practice Address - Phone:480-620-6499
Practice Address - Fax:623-455-9828
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1-07-3387103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1-07-3387OtherBEHAVIOR ANALYSIS CERTIFICATION BOARD