Individual
IAN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
450 SB CHETCO RIVER ROAD, BROOKINGS, OR 97415
(541) 661-0297
Mailing address
00450 SB CHETCO RIVER ROAD, BROOKINGS, OR 97415
(541) 661-0297
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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