Provider Demographics
NPI:1740073121
Name:LEETH, DALANEY E (RBT)
Entity type:Individual
Prefix:
First Name:DALANEY
Middle Name:E
Last Name:LEETH
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1280 COLUMBIANA RD STE 150
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1604
Mailing Address - Country:US
Mailing Address - Phone:205-253-6903
Mailing Address - Fax:855-380-3591
Practice Address - Street 1:1280 COLUMBIANA RD STE 150
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1604
Practice Address - Country:US
Practice Address - Phone:205-253-6903
Practice Address - Fax:855-380-3591
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALRBT-24-351037106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician