MEDICARE: MERCY LEAL

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
1	106S00000X	Behavior Technician	RBT-25-440792	TX

General Provider Information

NPI Number	:	1417884248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERCY LEAL

Provider Business Mailing Address
First Line	:	6914 BRISBANE CT STE 200
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4924
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12606 GREENVILLE AVE STE 260
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75243-1921
Country	:	US
Telephone Number	:	884-272-7223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “ MERCY LEAL ” Practice Location

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