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1902656168
JASON LEACH
SOMERSET, KY
NPI
1902656168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: KY 280541)
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
JASON LEACH TLBA
48 CIRCLE DR
SOMERSET, KY 42501-6116
Phone number: 068-758-0296
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Mailing Address
JASON LEACH TLBA
48 CIRCLE DR
SOMERSET, KY 42501-6116
Phone number: 068-758-0296
Copy
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