Individual
EMILY LEIGHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 TENNY ST, BLOOMSBURG, PA 17815-3264
(888) 726-4774
Mailing address
351 TENNY ST, BLOOMSBURG, PA 17815-3264
(888) 726-4774
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
PA
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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