Provider Demographics
NPI:1952601973
Name:TODD-LEFEAR, TAULEECE
Entity type:Individual
Prefix:
First Name:TAULEECE
Middle Name:
Last Name:TODD-LEFEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7055 E LAKE MEAD BLVD
Mailing Address - Street 2:APT 1006
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89156-1108
Mailing Address - Country:US
Mailing Address - Phone:702-287-8634
Mailing Address - Fax:
Practice Address - Street 1:7055 E LAKE MEAD BLVD
Practice Address - Street 2:APT 1006
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89156-1108
Practice Address - Country:US
Practice Address - Phone:702-287-8634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
Yes172V00000XOther Service ProvidersCommunity Health Worker