Powder River Behavior Consultation, LLC

NPI #1336526979 in Gillette, Wyoming

Provider Information

NPI Number: 1336526979
Entity Type: Organization
Organization Name: Powder River Behavior Consultation, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: May 4, 2015
Last Updated: May 4, 2015

Practice Location

Address: 812 GLACIER ST
City: Gillette
State: Wyoming
ZIP Code: 82718-5752
Phone: (949) 922-3043

Authorized Official

Name: MRS. KRISTINA MARIE LESLIE, LMFT, BCBA
Title: OWNER
Phone: (949) 922-3043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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