Individual
SAMANTHA LEICHTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 E PUTNAM AVE, OLD GREENWICH, CT 06870-1379
(203) 622-8600
Mailing address
14 CARRIAGE HOUSE LN, MAMARONECK, NY 10543-1004
(914) 420-3880
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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