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Individual

ERIC B LEEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSR

Contact information

Practice address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 443-8335
Mailing address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 443-8335

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
225400000X
Rehabilitation Practitioner
NM

Other

Enumeration date
10/05/2020
Last updated
09/30/2024
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