Provider Demographics
NPI:1831595727
Name:LEITER, JULEA LYNN (BCABA)
Entity type:Individual
Prefix:
First Name:JULEA
Middle Name:LYNN
Last Name:LEITER
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1808 RICHARDS RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3982
Mailing Address - Country:US
Mailing Address - Phone:425-754-5135
Mailing Address - Fax:425-650-6916
Practice Address - Street 1:15600 REDMOND WAY
Practice Address - Street 2:SUITE #205
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3862
Practice Address - Country:US
Practice Address - Phone:425-242-0973
Practice Address - Fax:425-650-6916
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst