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Individual

MAKAYLA ANN LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
851 SE PIONEER WAY STE 201, OAK HARBOR, WA 98277-5789
(360) 333-5684
Mailing address
878 PATRICIA ANN DR, CAMANO ISLAND, WA 98282-6525
(360) 722-9417

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
WA
106S00000X
Behavior Technician
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2041449
WA
Enumeration date
01/30/2023
Last updated
01/30/2023
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