Individual
MRS. LEYLA JACQUELINE GARACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12545 SOPHIAMARIE LOOP, ORLANDO, FL 32828-7168
(407) 371-8035
Mailing address
12545 SOPHIAMARIE LOOP, ORLANDO, FL 32828-7168
(407) 371-8035
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
03/25/2018
Last updated
10/20/2021
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