Provider Demographics
NPI:1538409875
Name:LEMIRE, CHRISTY LYNN (MED, BCBA)
Entity type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:LYNN
Last Name:LEMIRE
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:MS
Other - First Name:CHRISTY
Other - Middle Name:LYNN
Other - Last Name:BURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, BCBA
Mailing Address - Street 1:939 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-6221
Mailing Address - Country:US
Mailing Address - Phone:510-289-2468
Mailing Address - Fax:
Practice Address - Street 1:9801 DUBLIN BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2835
Practice Address - Country:US
Practice Address - Phone:925-829-9555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-23
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-13-14800103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst