Leizle De Vera

NPI #1184467839 in Edmonds, Washington

Provider Information

NPI Number: 1184467839
Entity Type: Individual
Name: Leizle De Vera
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 18, 2024
Last Updated: Jun 18, 2024

Practice Location

Address: 152 3RD AVE S STE 105
City: Edmonds
State: Washington
ZIP Code: 98020-3596
Phone: (877) 264-6747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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