Individual
SAMANTHA LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061
(847) 868-3435
Mailing address
5915 W GUNNISON ST APT 2D, CHICAGO, IL 60630-3101
(815) 603-5407
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-10031
IL
Other
Enumeration date
10/14/2014
Last updated
06/22/2018
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