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Individual

MRS. LEAH MARIE FENNEMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, BCBA

Contact information

Practice address
2150 W NORTHWEST HWY, 114-1045, GRAPEVINE, TX 76051-6989
(817) 366-7299
Mailing address
2150 W NORTHWEST HWY, 114-1045, GRAPEVINE, TX 76051-6989
(817) 366-7299

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20774
TX

Other

Enumeration date
07/06/2010
Last updated
10/23/2016
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