Provider Demographics
NPI:1679879076
Name:LERMAN, DOROTHEA C (PHD, BCBA-D, LBA)
Entity type:Individual
Prefix:PROF
First Name:DOROTHEA
Middle Name:C
Last Name:LERMAN
Suffix:
Gender:F
Credentials:PHD, BCBA-D, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 BAY AREA BLVD # MC245
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-1002
Mailing Address - Country:US
Mailing Address - Phone:281-283-3437
Mailing Address - Fax:281-283-3408
Practice Address - Street 1:2700 BAY AREA BLVD # MC245
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-1002
Practice Address - Country:US
Practice Address - Phone:281-283-3437
Practice Address - Fax:281-283-3408
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
TX32757103TM1800X
TX1087103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities