Leonard Leroy Mann

NPI #1205471620 in Wasilla, Alaska

Provider Information

NPI Number: 1205471620
Entity Type: Individual
Name: Leonard Leroy Mann
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 8, 2019
Last Updated: Feb 3, 2021

Practice Location

Address: 3085 S ST MIHIEL CIR
City: Wasilla
State: Alaska
ZIP Code: 99654-0282
Phone: (907) 223-5371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Behavior Technician	106S00000X	Primary

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