Vanbeenen, Leeann Rose

Vanbeenen, Leeann Rose is an individual health care provider with primary practice located at 2489 Lake Tahoe Blvd , South Lake Tahoe CA 96150-7728. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Vanbeenen, Leeann Rose can be contacted via phone (530) 578-3839.

Contact Information

Primary practice address
2489 Lake Tahoe Blvd South Lake Tahoe CA 96150-7728
Phone: (530) 578-3839
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Y2148208 California
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Y2148208 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Y2148208 California

Profile Details

NPI number 1447819685
LBN Legal business name Vanbeenen, Leeann Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2019
Last updated Jun 11th, 2019 - about 5 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 1447819685 NPPES
California MEDICAID 04211999

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