Individual
MS. LEIA GENESIS RAINE FORERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9999 NE 2ND AVE STE 204, MIAMI SHORES, FL 33138-2345
(786) 626-2552
Mailing address
17890 W DIXIE HWY APT 112, NORTH MIAMI BEACH, FL 33160-4823
(786) 626-2552
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-16681
FL
106S00000X
Behavior Technician
RBT-22-203340
FL
Other
Enumeration date
05/07/2022
Last updated
12/04/2025
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