Leasanea Ivery

NPI #1275358293 in Riverdale, Georgia

Provider Information

NPI Number: 1275358293
Entity Type: Individual
Name: Leasanea Ivery
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 15, 2024
Last Updated: Nov 15, 2024

Practice Location

Address: 7419 BETHSAIDA DR
City: Riverdale
State: Georgia
ZIP Code: 30296-1810
Phone: (404) 438-9738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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