Provider Demographics
NPI:1346487584
Name:HODGSON, LEANNIE NAHIOKA
Entity Type:Individual
Prefix:MS
First Name:LEANNIE
Middle Name:NAHIOKA
Last Name:HODGSON
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 1:3285 FOXCROFT RD APT 303
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4142
Mailing Address - Country:US
Mailing Address - Phone:786-512-7851
Mailing Address - Fax:
Practice Address - Street 1:3285 FOXCROFT RD APT 303
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-4142
Practice Address - Country:US
Practice Address - Phone:786-512-7851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst