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Individual

MISS KELLY LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BCBA

Contact information

Practice address
145 ROSEMARY ST, SUITE K1, NEEDHAM HEIGHTS, MA 02494-3238
(978) 737-3760
(317) 815-3861
Mailing address
1025 E 54TH ST, INDIANAPOLIS, IN 46220-3219
(317) 584-5166
(317) 815-3861

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/16/2016
Last updated
03/16/2016
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