Individual
ELIZABETH LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 SAINT ANDREWS DR, AUGUSTA, GA 30909-7810
(706) 409-9528
Mailing address
1010 SAINT ANDREWS DR, AUGUSTA, GA 30909-7810
(706) 409-9528
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-165179
GA
Other
Enumeration date
03/27/2022
Last updated
03/27/2022
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