Individual
CARMEN MICHELLE LEANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4655 E GRANT AVE, FRESNO, CA 93702-1646
(559) 722-1238
Mailing address
4655 E GRANT AVE, FRESNO, CA 93702-1646
(559) 722-1238
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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