Individual
MS. LEESA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3329 ROBERTS CREEK RD, ROSEBURG, OR 97470-8444
(541) 530-1186
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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