Individual
CHRISTINA R LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 HIGHTOWER TRL STE B120, ATLANTA, GA 30350-6205
(866) 523-4268
Mailing address
3011 HIDDEN FOREST CT APT 1520, MARIETTA, GA 30066-3106
(706) 945-5406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
12/01/2021
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