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Contact Information

LISA M CHENEY, LEP, BCBA
1811 GRAND CANAL BLVD STE 3
STOCKTON, CA95207-8107
 Phone: 209-800-1718
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LISA M CHENEY · (Female)

NPI # 1811749021
Status Active
Credentials LEP, BCBA
Entity Individual
Enumeration date 04/02/2024
Last updated 04/02/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # LEP3902
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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