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Individual

TAYA KENZIE LEECH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 N WOODS LN, ROGERS, AR 72756-6712
(479) 636-3190
Mailing address
3400 N WOODS LN, ROGERS, AR 72756-6712
(479) 636-3190

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
07/24/2020
Last updated
09/28/2023
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