Individual
LEAH FAIRWEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA-LBA
Contact information
Practice address
7010 E ACOMA DR STE 101H, SCOTTSDALE, AZ 85254-3550
(480) 999-5666
Mailing address
405 E SCOTT AVE, GILBERT, AZ 85234-3421
(480) 431-2675
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000733
AZ
Other
Enumeration date
12/01/2021
Last updated
05/19/2023
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