Individual
JOCELYN MARIE LEITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 112TH AVE NE STE 206A, BELLEVUE, WA 98004-3759
(425) 754-5135
Mailing address
17821 NE 104TH WAY, REDMOND, WA 98052
(425) 326-9488
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61307900
WA
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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