Individual
GARRICK LEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1635 43RD ST S STE 105, FARGO, ND 58103-3579
(701) 412-2973
Mailing address
1547 30TH AVE S, MOORHEAD, MN 56560-5149
(218) 287-4338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44702
—
103K00000X
Behavior Analyst
L64
ND
174400000X
Specialist
—
—
Other
Enumeration date
03/07/2019
Last updated
07/21/2022
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