Healthcare Provider Details

I. General information

NPI: 1114837531
Provider Name (Legal Business Name): LEON CHRISTIAN JR. RBT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1648 APPLETON ST
BALTIMORE MD
21217-1114
US

IV. Provider business mailing address

1648 APPLETON ST
BALTIMORE MD
21217-1114
US

V. Phone/Fax

Practice location:
  • Phone: 717-802-0691
  • Fax:
Mailing address:
  • Phone: 717-802-0691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-501367
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: