Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003321191 |
---|---|
Provider Name | Alesha Leonard |
First Address | Henderson, NV 89012-3132 |
Second Address | Henderson, NV 89012-3132 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2017 |
Last Update Date | 11/12/2017 |