Individual
FAITH LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 BROWN BLVD STE 101, BOURBONNAIS, IL 60914-2325
(815) 763-1406
Mailing address
475 BROWN BLVD STE 101, BOURBONNAIS, IL 60914-2325
(815) 763-1406
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-470657
IL
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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