Individual
LESLIE HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 NE WINTER ST, ROSEBURG, OR 97470-1556
(541) 698-8450
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(541) 698-8450
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10267338
OR
106S00000X
Behavior Technician
Primary
19-90529
CO
Other
Enumeration date
07/23/2019
Last updated
02/13/2026
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