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Individual

TATIANA LECLAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
1555 SE DELAWARE AVE STE O, ANKENY, IA 50021-4011
(515) 261-2402
(515) 414-7642
Mailing address
1555 SE DELAWARE AVE STE O, ANKENY, IA 50021-4011
(515) 261-2402
(515) 414-7642

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
IA

Other

Enumeration date
12/11/2017
Last updated
12/11/2017
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