Provider Demographics
NPI:1598199267
Name:LEON-BYRD, ANGEL MARIA (MED)
Entity Type:Individual
Prefix:MRS
First Name:ANGEL
Middle Name:MARIA
Last Name:LEON-BYRD
Suffix:
Gender:F
Credentials:MED
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Mailing Address - Street 1:3155 IRONHORSE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-1424
Mailing Address - Country:US
Mailing Address - Phone:917-613-0984
Mailing Address - Fax:
Practice Address - Street 1:4301 N FEDERAL HWY, SUITE 2 SOUTH
Practice Address - Street 2:BUTTERFLY EFFECTS LLC
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064
Practice Address - Country:US
Practice Address - Phone:888-880-9270
Practice Address - Fax:954-342-0273
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst