Individual
LIANCY LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 W 56TH ST APT 1321, HIALEAH, FL 33016-4769
(786) 587-8283
Mailing address
2500 W 56TH ST APT 1321, HIALEAH, FL 33016-4769
(786) 587-8283
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
252Y00000X
Early Intervention Provider Agency
OTA12324
FL
Other
Enumeration date
10/13/2014
Last updated
03/03/2022
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