Heitzler, Lisa

Heitzler, Lisa is an individual health care provider with primary practice located at 3195 Zinfandel Dr Building G, Suite 21, Rancho Cordova CA 95670-6376. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Heitzler, Lisa can be contacted via phone (916) 812-9474.

Contact Information

Primary practice address
3195 Zinfandel Dr Building G, Suite 21 Rancho Cordova CA 95670-6376
Phone: (916) 812-9474
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1477899367
LBN Legal business name Heitzler, Lisa
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2012
Last updated Dec 20th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477899367 NPPES
California Other 1-09-5552 BEHAVIOR ANALYST CERTIFICATION BOARD

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