Individual
ANGELA NOEL LEIVIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
2120 E HIGHWAY 66, EL RENO, OK 73036-6623
(316) 250-0080
Mailing address
2120 E HIGHWAY 66, EL RENO, OK 73036-6623
(316) 250-0080
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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