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NPI Code Detail

MEDICARE: JAIME LEIJA

MEDICARE: JAIME LEIJA
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 Technician

General Provider Information

NPI Number : 1356273874
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME LEIJA
Provider Business Mailing Address
First Line : 3327 MADISON ELM ST
Second Line :
City : KATY
State : TX
Zip : 77493-4411
Country : US
Telephone Number : 832-780-4054
Fax Number :
Provider Business Practice Location Address
First Line : 3327 MADISON ELM ST
Second Line :
City : KATY
State : TX
Zip : 77493-4411
Country : US
Telephone Number : 832-780-4054
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ JAIME LEIJA ” Practice Location

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