Provider Demographics
NPI:1831798115
Name:RECTOR, LEA SHANNON (BS MS BCBA)
Entity type:Individual
Prefix:
First Name:LEA
Middle Name:SHANNON
Last Name:RECTOR
Suffix:
Gender:F
Credentials:BS MS BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 ARAPAHOE AVE.
Mailing Address - Street 2:SUITE 230
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302
Mailing Address - Country:US
Mailing Address - Phone:720-432-4326
Mailing Address - Fax:
Practice Address - Street 1:2500 ARAPAHOE AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302
Practice Address - Country:US
Practice Address - Phone:720-432-4326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst