Individual
JERICHO LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 SE PIONEER WAY STE 201, OAK HARBOR, WA 98277-5789
(568) 436-0333
Mailing address
851 SE PIONEER WAY STE 201, OAK HARBOR, WA 98277-5789
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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