Individual
LEIDY WASSENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9390 RESEARCH BLVD STE 100, AUSTIN, TX 78759-6585
(512) 330-9520
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
40767608
TX
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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