Individual
JOSHUA MILES LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 N PATRICK BLVD UNIT 250, BROOKFIELD, WI 53045-5883
(262) 989-9030
Mailing address
7151 ASPEN CT, FRANKSVILLE, WI 53126-9416
(262) 989-9030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB786309
WI
Other
Enumeration date
08/12/2022
Last updated
08/19/2022
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