Individual
DR. LEAH CHRISTINE GONGOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
15445 CHARDON WINDSOR RD, HUNTSBURG, OH 44046-8728
(440) 313-8636
Mailing address
15445 CHARDON WINDSOR RD, HUNTSBURG, OH 44046-8728
(440) 313-8636
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5195
OH
Other
Enumeration date
07/31/2010
Last updated
07/31/2010
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