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Individual

DR. JUSTIN BARRETT LEAF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., BCBA

Contact information

Practice address
19 LEXINGTON OAKS CT, FORISTELL, MO 63348-1479
(562) 221-8581
Mailing address
19 LEXINGTON OAKS CT, FORISTELL, MO 63348-1479
(562) 221-8581

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
11/05/2010
Last updated
11/05/2010
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