Individual
LESLIE SANCHEZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 313-1625
Mailing address
1050 W MONROE ST UNIT 215, CHICAGO, IL 60607-3705
(510) 680-8737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45229
CO
Other
Enumeration date
12/18/2017
Last updated
04/09/2023
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