| New Leaf Behavior Center, Llc | |
|
418 E 1st St Ste 104 Aberdeen WA 98520-4116 | |
| (360) 500-3374 | |
| (360) 612-0234 |
| Full Name | New Leaf Behavior Center, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 418 E 1st St Ste 104, Aberdeen, Washington |
| Authorized Official Name and Position | Tess Lawson (OWNER) |
| Authorized Official Contact | 3605003374 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Behavior Center, Llc Po Box 922 Aberdeen WA 98520-0191 Ph: (360) 500-3374 | New Leaf Behavior Center, Llc 418 E 1st St Ste 104 Aberdeen WA 98520-4116 Ph: (360) 500-3374 |
| NPI Number | 1760021364 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 12/30/2019 |
| Certification Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760021364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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