Individual
SAMANTHA P LEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
145 SPRINGFIELD CT, O FALLON, IL 62269-2495
(217) 525-8332
(217) 789-1420
Mailing address
5220 6TH STREET FRONTAGE RD E STE 1700, SPRINGFIELD, IL 62703-5771
(217) 525-8332
(217) 789-1420
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41380
IL
Other
Enumeration date
02/22/2018
Last updated
01/10/2023
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