Individual provider · NPI-1
Kallie Kathryn Leathers
Assistant Behavior Analyst · Grand Blanc, MI
NPI number1043973852
StatusActive
Last updated in NPPESOct 19, 2021
Details
- NPI
- 1043973852
- Entity type
- Individual (NPI-1)
- Name
- Kallie Kathryn Leathers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2021
- Certification date
- Oct 19, 2021
- Last updated
- Oct 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
10751 S Saginaw St Ste EGrand Blanc, MI 48439-8169
Phone 586-404-9400
Mailing address
10751 S Saginaw St Ste EGrand Blanc, MI 48439-8169
Phone 586-404-9400
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