Individual
LESLIE ELAINE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LABA
Contact information
Practice address
351 WAGONER DR STE 325, FAYETTEVILLE, NC 28303-4674
(910) 491-0061
Mailing address
3679 APPLEGATE RD, HOPE MILLS, NC 28348-2022
(615) 995-1805
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
A1491
NC
251S00000X
Community/Behavioral Health Agency
RBT-22-248349
NC
Other
Enumeration date
12/12/2022
Last updated
03/23/2024
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