Individual
MICHELE LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 COURT STREET, MACHIAS, ME 04654
(207) 255-3426
Mailing address
PO BOX 311, MACHIAS, ME 04654-0311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-40734
ME
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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