Healthcare Provider Details

I. General information

NPI: 1194120667
Provider Name (Legal Business Name): ALBERTO LEON M.A., BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2014
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 W MAIN ST STE 120
VISALIA CA
93291-6169
US

IV. Provider business mailing address

4050 W METROPOLITAN DR STE 100
ORANGE CA
92868-3502
US

V. Phone/Fax

Practice location:
  • Phone: 657-254-5661
  • Fax: 888-403-6922
Mailing address:
  • Phone: 657-254-5661
  • Fax: 888-403-6922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-14-10180
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: