Individual
LISA LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 WASHINGTON RD, CANONSBURG, PA 15317-3189
(724) 933-4673
Mailing address
3150 WASHINGTON RD, CANONSBURG, PA 15317-3189
(724) 933-4673
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003064
PA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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