Provider Demographics
NPI:1043580400
Name:LEBLANC, ARIANA MARY
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:MARY
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:LUNENBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01462-1513
Mailing Address - Country:US
Mailing Address - Phone:978-401-9303
Mailing Address - Fax:508-634-6984
Practice Address - Street 1:410 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:LUNENBURG
Practice Address - State:MA
Practice Address - Zip Code:01462-1513
Practice Address - Country:US
Practice Address - Phone:978-401-9303
Practice Address - Fax:508-634-6984
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health