Individual
MRS. JENNIFER LEYVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10720 CARIBBEAN BLVD, CUTLER BAY, FL 33189-1218
(954) 678-8027
Mailing address
18725 SW 344TH TER, HOMESTEAD, FL 33034-4501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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