Individual
LEANNE BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 ENLOE ST STE 103, HUDSON, WI 54016-4539
(715) 808-8555
Mailing address
2910 ENLOE ST STE 103, HUDSON, WI 54016-4539
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1423-140
WI
Other
Enumeration date
10/09/2024
Last updated
09/04/2025
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