Healthcare Provider Details

I. General information

NPI: 1164300612
Provider Name (Legal Business Name): LEANE ESCALONA GARCIA RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3121 NW 1ST ST
MIAMI FL
33125-5005
US

IV. Provider business mailing address

3121 NW 1ST ST
MIAMI FL
33125-5005
US

V. Phone/Fax

Practice location:
  • Phone: 786-799-0337
  • Fax: 786-799-0337
Mailing address:
  • Phone: 786-799-0337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: