Individual
MR. BRIAN LEAVENWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40823 RODGERS MOUNTAIN LOOP, SCIO, OR 97374-9359
(541) 990-3384
(503) 394-4135
Mailing address
40823 RODGERS MOUNTAIN LOOP, SCIO, OR 97374-9359
(541) 990-3384
(503) 394-4135
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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