Individual
BRIANNA NICOLE LEYBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 CRESCENT DR, ROSWELL, NM 88201-3268
(575) 390-1248
Mailing address
1023 CRESCENT DR, ROSWELL, NM 88201-3268
(575) 390-1248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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