Individual
LEIGH ERIN BROUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
700 MOUNT HOPE AVE STE 320, BANGOR, ME 04401-5680
(207) 941-2952
(317) 249-2248
Mailing address
700 MOUNT HOPE AVE STE 320, BANGOR, ME 04401-5680
(207) 941-2952
(317) 249-2248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-08-4876
IN
Other
Enumeration date
02/05/2013
Last updated
07/09/2019
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