Individual
ANGELITA L LEAKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 LEVERETT RD APT 1312, WARNER ROBINS, GA 31088-0338
(478) 302-4396
Mailing address
1205 LEVERETT RD APT 1312, WARNER ROBINS, GA 31088-0338
(478) 302-4396
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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