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NPI Code Detail

MEDICARE: SHAKELA LEBLANC

MEDICARE: SHAKELA LEBLANC
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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1225597081
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAKELA LEBLANC
Provider Business Mailing Address
First Line : 700 AIRPORT BLVD STE 490
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-1945
Country : US
Telephone Number : 650-722-1575
Fax Number :
Provider Business Practice Location Address
First Line : 700 AIRPORT BLVD STE 490
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-1945
Country : US
Telephone Number : 650-722-1575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2019
Last Update Date : 09/05/2025

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Directions to “ SHAKELA LEBLANC ” Practice Location

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