Individual
DANIELLE ISABEL LEAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 UPPER HEMBREE RD, ROSWELL, GA 30076-4611
(470) 289-2772
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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