Most Relevant Information
Provider Data
| NPI Number: | 1003447947 |
| Provider Name: | GERARDO LEON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/29/2020 |
| Last Updated: | 01/29/2020 |
Provider Practice Location
1111 BAKER ST STE A
COSTA MESA
CA
926264138
Practice Location Phone/Fax
| Phone: | 9499106767 |
| Fax: |
Provider Mailing Location
1055 E COLORADO BLVD
PASADENA
CA
911062327
Provider Mailing Phone/Fax
| Phone: | 9499106767 |
| Fax: |