Individual
LAURA LEOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 N RANCHO DR STE 150, LAS VEGAS, NV 89130-3439
(833) 646-3222
(833) 646-3222
Mailing address
142 E 16TH ST APT 12E, NEW YORK, NY 10003-3507
(833) 646-3222
(833) 646-3222
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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