MEDICARE: JANAIYA LESHAE BROOKS

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-25-503563	AL

General Provider Information

NPI Number	:	1447123997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANAIYA LESHAE BROOKS

Provider Business Mailing Address
First Line	:	5764 VILLAS LN APT D
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-6147
Country	:	US
Telephone Number	:	334-277-8365
Fax Number	:

Provider Business Practice Location Address
First Line	:	2185 NORMANDIE DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36111-2728
Country	:	US
Telephone Number	:	334-202-4638
Fax Number	:

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

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	01/02/2026

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Directions to “ JANAIYA LESHAE BROOKS ” Practice Location

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