Individual
COLLEEN LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
12590 79TH AVE, SEMINOLE, FL 33776-3627
(956) 357-2589
Mailing address
12590 79TH AVE, SEMINOLE, FL 33776-3627
(956) 357-2589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
547506
FL
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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