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Individual

BEATRIZ LEYVA OMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2420 WILSON AVE, MADISON, IN 47250-2135
(812) 265-8226
Mailing address
724 W 3RD ST, MADISON, IN 47250-3117
(717) 984-1360

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-537746
IN

Other

Enumeration date
05/20/2026
Last updated
05/20/2026
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