Individual
LEILA MAADOOLIAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
225 W BAYSIDE DR UNIT 302, GLENDALE, WI 53217-1560
(262) 302-0984
Mailing address
225 W BAYSIDE DR UNIT 302, GLENDALE, WI 53217-1560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-528678
WI
Other
Enumeration date
07/25/2026
Last updated
07/25/2026
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