Provider Demographics
NPI:1649033267
Name:JARRAF, LEILA
Entity type:Individual
Prefix:
First Name:LEILA
Middle Name:
Last Name:JARRAF
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 1:4816 COURT Q
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98404-4534
Mailing Address - Country:US
Mailing Address - Phone:781-479-7583
Mailing Address - Fax:
Practice Address - Street 1:4816 COURT Q
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98404-4534
Practice Address - Country:US
Practice Address - Phone:781-479-7583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician