Individual
MRS. LEILA LISSETTE POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
212 S WASHINGTON ST, ALEXANDRIA, VA 22314-3626
(703) 870-3880
(775) 392-1245
Mailing address
2423 S ORANGE AVE, ORLANDO, FL 32806-4543
(540) 922-1110
(775) 392-1245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133003905
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30018042700001
—
VA
Enumeration date
05/19/2017
Last updated
06/23/2025
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