Russell, Leah

Russell, Leah is an sole proprietor health care provider with primary practice located at 15958 N 171St Dr , Surprise AZ 85388-0204. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Russell, Leah can be contacted via phone (661) 616-7500.

Contact Information

Primary practice address
15958 N 171St Dr Surprise AZ 85388-0204
Phone: (661) 616-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Arizona

Profile Details

NPI number 1215252416
LBN Legal business name Russell, Leah
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2010
Last updated Mar 30th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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