Individual
LEAH CATHERINE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
2035 W ILES AVE, SPRINGFIELD, IL 62704-4192
(217) 679-5080
Mailing address
923 E CLEVELAND ST, TAYLORVILLE, IL 62568-1431
(217) 820-0734
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-34006
IL
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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