Most Relevant Information
Provider Data
| NPI Number: | 1003053414 |
| Provider Name: | DEBRA LEACH ED.D., BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-05-2308 |
Most Important Dates
| Enumeration Date: | 01/07/2009 |
| Last Updated: | 04/04/2022 |
Provider Practice Location
525 N TRYON ST STE 1600
CHARLOTTE
NC
282020213
Practice Location Phone/Fax
| Phone: | 8558326727 |
| Fax: | 7726759100 |
Provider Mailing Location
525 N TRYON ST STE 1600
CHARLOTTE
NC
282020213
Provider Mailing Phone/Fax
| Phone: | 8558326727 |
| Fax: | 7726759100 |