Individual
LEASA ANDROL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. BCBA
Contact information
Practice address
3949 N RIVER RD, FREELAND, MI 48623-8856
(989) 702-2082
(989) 355-1398
Mailing address
3949 N RIVER RD, FREELAND, MI 48623-8856
(989) 702-2082
(989) 355-1398
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-16719
CO
103K00000X
Behavior Analyst
Primary
7401000284
MI
Other
Enumeration date
07/16/2014
Last updated
01/15/2020
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