Individual
ILEANA REAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6413 QUINCE RD, MEMPHIS, TN 38119-8219
(901) 690-5213
Mailing address
4415 LEATHERWOOD RD, MEMPHIS, TN 38117-6905
(901) 801-3311
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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