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NPI Code Detail

MEDICARE: LINDA CAROLINA LEIJA

MEDICARE: LINDA CAROLINA 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 : 1417886938
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA CAROLINA LEIJA
Provider Business Mailing Address
First Line : 818 NORTH BLVD
Second Line :
City : OAK PARK
State : IL
Zip : 60301-1302
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 982 ARTESIA BLVD
Second Line :
City : HERMOSA BEACH
State : CA
Zip : 90254-2707
Country : US
Telephone Number : 310-893-3471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 05/19/2026

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Directions to “ LINDA CAROLINA LEIJA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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