Individual
COURTNEY LEIGH ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
63 PALOMAR AVE UNIT 211, SAN LUIS OBISPO, CA 93405-2077
(415) 233-0612
Mailing address
4251 S HIGUERA ST, SAN LUIS OBISPO, CA 93401-7700
(805) 541-7130
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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