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NPI Code Detail

MEDICARE: DANIELLE LEONARD

MEDICARE: DANIELLE LEONARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystLBA0523NV

General Provider Information

NPI Number : 1033511902
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE LEONARD
Provider Business Mailing Address
First Line : 674 KEW GARDENS DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89178-1281
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6180 BRENT THURMAN WAY STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5018
Country : US
Telephone Number : 27-813-3437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2014
Last Update Date : 01/14/2025

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