Individual
KATELYN LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NW ENGLEWOOD RD STE 150, GLADSTONE, MO 64118-4040
(800) 200-2119
Mailing address
101 NW ENGLEWOOD RD STE 150, GLADSTONE, MO 64118-4040
(800) 200-2119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-224710
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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