MEDICARE: CAROL LIZBETH LEON

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-23-313655	FL

General Provider Information

NPI Number	:	1700732443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL LIZBETH LEON

Provider Business Mailing Address
First Line	:	1562 BIRCHWOOD AVE
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34744-4015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3200 S HIAWASSEE RD STE 203
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-6317
Country	:	US
Telephone Number	:	407-286-4031
Fax Number	:

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

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/10/2026

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Directions to “ CAROL LIZBETH LEON ” Practice Location

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