Lisa Leslie

NPI #1700320124 in Alma, Michigan

Provider Information

NPI Number: 1700320124
Entity Type: Individual
Name: Lisa Leslie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 5, 2016
Last Updated: Dec 5, 2016

Practice Location

Address: 504 PINE AVE
City: Alma
State: Michigan
ZIP Code: 48801-1723
Phone: (989) 285-9122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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