Provider Demographics
NPI:1346758083
Name:DELANEY K LEONARD
Entity Type:Organization
Organization Name:DELANEY K LEONARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DELANEY
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEONARD
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:352-410-1636
Mailing Address - Street 1:15001 EGRET HAMMOCK DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-1728
Mailing Address - Country:US
Mailing Address - Phone:352-410-1636
Mailing Address - Fax:
Practice Address - Street 1:15001 EGRET HAMMOCK DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-1728
Practice Address - Country:US
Practice Address - Phone:352-410-1636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-16
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty