Individual
LEAH RENEE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 15TH ST S APT 615, ARLINGTON, VA 22202-5035
(773) 680-7131
Mailing address
901 15TH ST S APT 615, ARLINGTON, VA 22202-5035
(773) 680-7131
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-199706
CO
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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