Individual
ALEXIS LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 FAIRVIEW AVE N STE 106, ROSEVILLE, MN 55113-2724
(888) 362-3970
Mailing address
1596 GESKE RD, CHASKA, MN 55318-2622
(952) 451-9247
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24274
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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