Individual
TAMARA LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 UPPER RIVERDALE RD SW STE 110, RIVERDALE, GA 30274-2629
(561) 903-1995
(561) 997-1246
Mailing address
542 AMHERST ST, NASHUA, NH 03063-1016
(561) 323-6593
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
02/05/2025
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