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1790330645
JENNA S LEAVITT
PORTLAND, OR
NPI
1790330645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: OR 12156892)
Enumeration Date
2019-08-07
Last Update Date
2022-01-18
Business Address
JENNA S LEAVITT
121 SW SALMON ST FL 11
PORTLAND, OR 97204-2908
Phone number: 855-832-6727
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Mailing Address
JENNA S LEAVITT
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727
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