Individual
ROBIN LEATHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., BCBA, LBA
Contact information
Practice address
5405 ROBERTS ST, SHAWNEE, KS 66226-3937
(785) 256-9096
Mailing address
5405 ROBERTS ST, SHAWNEE, KS 66226-3937
(785) 256-9096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00454
KS
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/17/2019
Last updated
08/17/2021
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