Individual
JESSICA RENEE LECLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
258 E GARRISON BLVD, GASTONIA, NC 28054-0460
(219) 308-7172
Mailing address
16255 VENTURA BLVD STE 830, ENCINO, CA 91436-2317
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36379
IN
Other
Enumeration date
02/15/2019
Last updated
02/23/2024
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