Provider Demographics
NPI:1609118538
Name:LEFEBRE, ELIZABETH G (BCBA)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:G
Last Name:LEFEBRE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7511 GREENWOOD AVE. N
Mailing Address - Street 2:527
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103
Mailing Address - Country:US
Mailing Address - Phone:206-914-9219
Mailing Address - Fax:
Practice Address - Street 1:200 LUCILLES CT
Practice Address - Street 2:
Practice Address - City:BOULDER CREEK
Practice Address - State:CA
Practice Address - Zip Code:95006
Practice Address - Country:US
Practice Address - Phone:206-914-9219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1084737103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst