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Mary Leahy

Behavior Technician in Columbia, MD. Individual provider (NPI-1).

NPI number1336740604
StatusActive
Last updated in NPPESNov 3, 2020

Details

NPI
1336740604
Entity type
Individual (NPI-1)
Name
Mary Leahy
Sex
Female
Sole proprietor
No
Enumeration date
Nov 3, 2020
Certification date
Nov 3, 2020
Last updated
Nov 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444

Phone 855-866-9893

Mailing address

7090 Samuel Morse Dr Ste 100
Columbia, MD 21046-3444

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