Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-51122 | OH |
NPI | 1003427360 |
---|---|
Provider Name | Leah Christina Vogt |
First Address | Indianapolis, IN 46268-6135 |
Second Address | Dublin, OH 43016-3269 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2020 |
Last Update Date | 23/07/2021 |