JERAD LEISCH
Behavior Technician
Active
Individual
NPI: 1710574801
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | RBT-20-149038 (WY) |
Frequently Asked Questions
NPI 1710574801 is the National Provider Identifier for JERAD LEISCH, a Behavior Technician provider located in Rock Springs, WY. This NPI was enumerated on December 23, 2020.
JERAD LEISCH practices at 2632 FOOTHILL BLVD, Rock Springs, WY 82901.
Quick Facts
- NPI
- 1710574801
- Type
- Individual
- Enumerated
- Dec 23, 2020
- Last Updated
- Dec 23, 2020
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