MEDICARE: LEAH DIAMOND

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1275495053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH DIAMOND

Provider Business Mailing Address
First Line	:	850 TOWBIN AVE
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-5928
Country	:	US
Telephone Number	:	866-523-4268
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 BLAKE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-2101
Country	:	US
Telephone Number	:	833-599-2560
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ LEAH DIAMOND ” Practice Location

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