Individual
CAMRI MACHELLA LEETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4917 GOLDEN TRIANGLE BLVD STE 411, FORT WORTH, TX 76244-4672
(817) 754-4940
(817) 717-8584
Mailing address
4917 GOLDEN TRIANGLE BLVD STE 411, FORT WORTH, TX 76244-4672
(817) 754-4940
(817) 717-8584
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-269397
TX
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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