Individual
MIKAELA LEONZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 PENNSYLVANIA AVE, IRWIN, PA 15642-3737
(866) 287-2036
Mailing address
1015 PENNSYLVANIA AVE, IRWIN, PA 15642-3737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH008307
PA
106S00000X
Behavior Technician
Primary
RBT-23-258945
PA
Other
Enumeration date
02/23/2023
Last updated
05/05/2026
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