Individual
KRYSTAL MARIE LEONARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3826 PARK AVE STE 102, EDISON, NJ 08820-2565
(848) 247-6235
(201) 268-5830
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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