Garrick Leith
Behavior Analyst in Fargo, ND. Individual provider (NPI-1).
NPI number1083172142
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1083172142
- Entity type
- Individual (NPI-1)
- Name
- Garrick Leith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2019
- Certification date
- Jul 21, 2022
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-20-44702 | – | Yes |
| 103K00000X | Behavior Analyst | L64 | ND | |
| 174400000X | Specialist | – | – |
Practice location
1635 43rd St S Ste 105Fargo, ND 58103-3579
Phone 701-412-2973
Mailing address
1547 30th Ave SMoorhead, MN 56560-5149
Phone 218-287-4338
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