Individual
GENESIS MARIE DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, RBT
Contact information
Practice address
2709 BEACON ST, COLORADO SPRINGS, CO 80907-6115
(310) 482-7437
Mailing address
2709 BEACON ST, COLORADO SPRINGS, CO 80907-6115
(310) 482-7437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1404687
CO
251J00000X
Nursing Care Agency
NA.00822081
CO
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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