Active NPIIndividual providerSole proprietor

Mrs. Tracy Lebaron, BCBA

Community/Behavioral Health in Elizabeth, New Jersey

NPI Number1922616846
Practice location
80 W Grand St, Elizabeth, NJ 07202-1471
Fax
—
Last updated
July 16, 2020

Tracy Lebaron is a Community/Behavioral Health based in Elizabeth, NJ. Tracy Lebaron practices in Elizabeth, NJ and has the professional credentials of BCBA. The NPI Number for Tracy Lebaron is 1922616846 and holds a License No. 1-14-15844 (NJ). The current practice location address for Tracy Lebaron is 80 W Grand St, Elizabeth, NJ 07202-1471 and can be reached out via phone at 908-354-3040.

Provider Profile Details

NPI Number
1922616846
Provider Name
Tracy Lebaron
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
80 W Grand St, Elizabeth, NJ 07202-1471
Phone Number
908-354-3040
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 16, 2020
Last Update Date
July 16, 2020
Certification Date
July 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 W Grand St
Elizabeth, NJ 07202-1471
Zip
07202-1471
Phone Number
908-354-3040
Elizabeth, NJ 07202Get directions →

Provider Business Mailing Address Details

Address
703 Tower Dr
Edgewater, NJ 07020-2211
City
Edgewater
State
NJ
Zip
07020-2211
Phone Number
862-703-0852

License Information

License Number
1-14-15844
License State
NJ
Taxonomy
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Tracy Lebaron, BCBA?

The NPI number of Mrs. Tracy Lebaron, BCBA is 1922616846. It was assigned on July 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tracy Lebaron, BCBA?

Mrs. Tracy Lebaron, BCBA is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in NJ under license number 1-14-15844.

Where does Mrs. Tracy Lebaron, BCBA practice?

The practice location is 80 W Grand St, Elizabeth, NJ 07202-1471. The office can be reached at 908-354-3040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922616846 directly on the NPPES registry website.

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