Individual provider · NPI-1
Leslie Jean Buckley
Behavior Analyst · Dumfries, VA
NPI number1306296017
StatusActive
Last updated in NPPESJun 14, 2016
Details
- NPI
- 1306296017
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Leslie Jean Buckley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2016
- Last updated
- Jun 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | RBT-16-20945 | VA | Yes |
Practice location
4413 Ridgewood CtDumfries, VA 22025-1124
Phone 703-680-0197
Mailing address
4413 Ridgewood CtDumfries, VA 22025-1124
Phone 703-680-0197
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