Individual
SAMANTHA LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5321 S 138TH ST, OMAHA, NE 68137-2913
(402) 895-2000
Mailing address
5321 S 138TH ST, OMAHA, NE 68137-2913
(402) 895-4000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-335733
NE
Other
Enumeration date
11/08/2021
Last updated
09/13/2024
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