Grant Jameison Leeson

NPI #1700773330 in Summersville, West Virginia

Provider Information

NPI Number: 1700773330
Entity Type: Individual
Name: Grant Jameison Leeson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 18, 2025
Last Updated: Jun 18, 2025

Practice Location

Address: 1305 WEBSTER RD
City: Summersville
State: West Virginia
ZIP Code: 26651-1125
Phone: (304) 763-6119

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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