Healthcare Provider Details

I. General information

NPI: 1851063010
Provider Name (Legal Business Name): CASEY ELIZABETH DELEON MA,BCBA,LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASEY LEACH

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1535 N LEROY ST STE A
FENTON MI
48430-2791
US

IV. Provider business mailing address

1535 N LEROY ST
FENTON MI
48430-2791
US

V. Phone/Fax

Practice location:
  • Phone: 844-427-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number7401003503
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: