Leandrea Detheridge
NPI #1497570097 in White Marsh, Maryland
Provider Information
- NPI Number
- 1497570097
- Entity Type
- Individual
- Name
- Leandrea Detheridge
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 19, 2024
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 10839 PHILADELPHIA RD STE B
- City
- White Marsh
- State
- Maryland
- ZIP Code
- 21162-1717
- Phone
- (240) 751-7105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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