Individual
LEAH SERGEANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3445 WATHENS XING, OWENSBORO, KY 42301-7009
(270) 686-3999
Mailing address
3445 WATHENS XING, OWENSBORO, KY 42301-7009
(270) 686-3999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-108575
KY
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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