Individual
TAYLOR NICOLE LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1371 ABBOTT CT STE A, BUFFALO GROVE, IL 60089-2367
(847) 777-8995
Mailing address
100 W SHELLEY RD, ELK GROVE VILLAGE, IL 60007-3581
(847) 309-2828
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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