Individual
JESSICA DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 W SLAUGHTER LN, AUSTIN, TX 78748-6556
(630) 945-7899
Mailing address
1401 HESTERS CROSSING RD APT 15203, ROUND ROCK, TX 78681-8091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51907
TX
106S00000X
Behavior Technician
RBT-18-48192
TX
Other
Enumeration date
04/20/2021
Last updated
07/29/2021
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