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NPI Code Detail

MEDICARE: LOVE LEANDRE

MEDICARE: LOVE LEANDRE
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1457859936
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOVE LEANDRE
Provider Business Mailing Address
First Line : 12995 S CLEVELAND AVE STE 36
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-7751
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12995 S CLEVELAND AVE STE 36
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-7751
Country : US
Telephone Number : 239-672-4526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2018
Last Update Date : 01/30/2018

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Directions to “ LOVE LEANDRE ” Practice Location

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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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