Most Relevant Information
Provider Data
| NPI Number: | 1003321241 |
| Provider Name: | TATIANA LECLAIR RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/11/2017 |
| Last Updated: | 12/11/2017 |
Provider Practice Location
1555 SE DELAWARE AVE STE O
ANKENY
IA
500214011
Practice Location Phone/Fax
| Phone: | 5152612402 |
| Fax: | 5154147642 |
Provider Mailing Location
1555 SE DELAWARE AVE STE O
ANKENY
IA
500214011
Provider Mailing Phone/Fax
| Phone: | 5152612402 |
| Fax: | 5154147642 |