Individual
FERN ELYSE LEISCHOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1517 BLAKE ST STE 250, DENVER, CO 80202-5943
(575) 288-1881
(575) 288-1889
Mailing address
1517 BLAKE ST STE 250, DENVER, CO 80202-5943
(575) 288-1881
(575) 288-1889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1499550
CO
Other
Enumeration date
01/26/2026
Last updated
02/24/2026
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