Individual
SHANNON LEE LEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 LITTLETON RD FL 1, CHELMSFORD, MA 01824-3311
(978) 856-8645
Mailing address
112 LEICESTER ST, NORTH BILLERICA, MA 01862-1932
(781) 600-3569
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
S59200202
MA
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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