Individual
CASSADY LEIGH-TYLOR LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 CONCHAS ST NE, ALBUQUERQUE, NM 87123-2703
(505) 999-8514
Mailing address
213 CONCHAS ST NE, ALBUQUERQUE, NM 87123-2703
(505) 999-8514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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