Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst |
NPI | 1003317033 |
---|---|
Provider Name | Juliana J Leonhart |
First Address | Wheatland, CA 95692-9783 |
Second Address | Sacramento, CA 95831-3513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2018 |
Last Update Date | 27/10/2020 |