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NPI Code Detail

MEDICARE: LEAGHA MARIE DENNISON

MEDICARE: LEAGHA MARIE DENNISON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-25-494430MO

General Provider Information

NPI Number : 1205793130
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAGHA MARIE DENNISON
Provider Business Mailing Address
First Line : 500 W DANIELS ST
Second Line :
City : OZARK
State : MO
Zip : 65721-7322
Country : US
Telephone Number : 417-719-2057
Fax Number : 417-201-2152
Provider Business Practice Location Address
First Line : 500 W DANIELS ST
Second Line :
City : OZARK
State : MO
Zip : 65721-7322
Country : US
Telephone Number : 417-719-2057
Fax Number : 417-201-2152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/05/2026

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Directions to “ LEAGHA MARIE DENNISON ” Practice Location

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