Healthcare Provider Details

I. General information

NPI: 1871415414
Provider Name (Legal Business Name): SIERRA DANIELLE LEEK BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 FORBES RD STE 1120
BRAINTREE MA
02184-2800
US

IV. Provider business mailing address

78 TANAGER RD
ATTLEBORO MA
02703-1723
US

V. Phone/Fax

Practice location:
  • Phone: 617-322-2694
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90020
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: