Individual
MICHAEL JEREMY LESLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
2020 E HEBRON PKWY STE 120, CARROLLTON, TX 75007-1618
(469) 892-7500
(469) 575-3002
Mailing address
2000 N BELTLINE BLVD, APT 610E, COLUMBIA, SC 29204-3920
(803) 834-9148
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-6176
SC
103K00000X
Behavior Analyst
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—
Other
Enumeration date
10/14/2014
Last updated
03/17/2018
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