Individual
LEANNE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12774 SW 132ND AVE, TIGARD, OR 97223-4709
(503) 703-4182
Mailing address
12774 SW 132ND AVE, TIGARD, OR 97223-4709
(503) 703-4182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/05/2018
Last updated
12/19/2018
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