MS. Leila Mecklenburg

NPI #1912548074 in Fairbanks, Alaska

Provider Information

NPI Number: 1912548074
Entity Type: Individual
Name: MS. Leila Mecklenburg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 30, 2019
Last Updated: Sep 30, 2019

Practice Location

Address: 1976 SEPTEMBER CT
City: Fairbanks
State: Alaska
ZIP Code: 99709-6274
Phone: (808) 492-4905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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