Individual
LEAANN BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 FOREST LN, JAMESTOWN, TN 38556-2134
(570) 228-8544
Mailing address
909 FOREST LN, JAMESTOWN, TN 38556-2134
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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