Individual
MISS HAYLEY LECKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
8438 INDIANA ST, MERRILLVILLE, IN 46410-6357
(219) 525-4572
Mailing address
12941 W 151ST AVE, CEDAR LAKE, IN 46303-9045
(219) 741-6239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51631
IN
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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