Individual
BRIANA LEYVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 VANTAGE DR, SUITE 2007, WOODBRIDGE, VA 22191-4157
(407) 574-5629
(407) 965-4480
Mailing address
8701 MAITLAND SUMMIT BLVD, ORLANDO, FL 32810-5915
(407) 574-4629
(407) 965-4480
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-07699
VA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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