Jerad Leisch
Jerad Leisch is a Behavior Technician in Rock Springs, Wyoming. Licensed in Wyoming. Registered with an NPI since 2020.
- Licensed in
- WY
- In the registry since
- 2020
Practice location Address checks out
2632 Foothill BlvdRock Springs, WY 82901-4756
Phone: (307) 212-3284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-20-149038 (WY) |
|---|
Record details
| NPI number | 1710574801 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 23, 2020 |
| Last updated in NPPES | December 23, 2020 |
| Certification date | December 23, 2020 |
| Mailing address | 310 E Broadway Ave, Jackson, WY 83001-8636 |
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Kyrstin King
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Kaila Krotzer, RBT
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Du Lam
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Jessie Lockwood Willoughby
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Jayce McRae
79 Winston Dr Ste 229, Rock Springs, WY 82901-5775 · (307) 212-3284
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