Healthcare Provider Details

I. General information

NPI: 1609118538
Provider Name (Legal Business Name): ELIZABETH G LEFEBRE BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2013
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 N 143RD ST
SEATTLE WA
98133-6803
US

IV. Provider business mailing address

102 N 143RD ST
SEATTLE WA
98133-6803
US

V. Phone/Fax

Practice location:
  • Phone: 206-914-9219
  • Fax:
Mailing address:
  • Phone: 206-914-9219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1084737
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: