Most Relevant Information
Provider Data
NPI Number: | 1003279084 |
Provider Name: | KASEY LEECH |
Entity Type: | Individual |
Taxonomy Code: | 103K00000X |
Specialty: | Behavior Analyst |
License Number: | 1-16-22051 |
Most Important Dates
Enumeration Date: | 03/29/2016 |
Last Updated: | 05/23/2024 |
Provider Practice Location
4664 LARWELL DR
COLUMBUS
OH
432203621
Practice Location Phone/Fax
Phone: | 7404917702 |
Fax: |
Provider Mailing Location
99 MAIN ST
WHEELING
WV
260032421
Provider Mailing Phone/Fax
Phone: | |
Fax: |