Individual
MS. LESLIE SELINA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2338 W ROYAL PALM RD STE J, PHOENIX, AZ 85021-9339
(855) 772-8847
Mailing address
2338 W ROYAL PALM RD STE J, PHOENIX, AZ 85021-9339
(407) 931-6212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
10/14/2024
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