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Individual

COURTNEY SAVANNAH LEERSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S, BCBA

Contact information

Practice address
1163 W JOHN CARPENTER FWY, IRVING, TX 75039-7503
(972) 217-4090
Mailing address
5808 GLENWOOD DR, DENTON, TX 76208-1222
(972) 342-2841

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45474
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-20-45474
BACB CERTIFICATION NUMBER
Enumeration date
03/10/2021
Last updated
08/19/2021
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