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NPI Code Detail

MEDICARE: LEIGHLONI MCELROY RBT

MEDICARE: LEIGHLONI MCELROY RBT
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 TechnicianRBT-22-214460

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-22-214460OTHERBACB

General Provider Information

NPI Number : 1750026761
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGHLONI MCELROY RBT
Provider Business Mailing Address
First Line : 4908 RANDEE CIR
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-2054
Country : US
Telephone Number : 985-413-8127
Fax Number :
Provider Business Practice Location Address
First Line : 4908 RANDEE CIR
Second Line :
City : PENSACOLA
State : FL
Zip : 32526-2054
Country : US
Telephone Number : 985-413-8127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2022
Last Update Date : 05/03/2022

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Directions to “ LEIGHLONI MCELROY RBT” Practice Location

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