Individual
LYDIA KRISTIN LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 E 600 S, SAINT GEORGE, UT 84770-3949
(435) 705-7574
Mailing address
980 LIAHONA CT, MESQUITE, NV 89027-2513
(702) 815-5182
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-329264
UT
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
01/27/2026
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