Brianna Lynn Leatherwood

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-327091

Practice address

7004 Pine Forest Rd Ste G
Pensacola, FL 32526-3935

Phone

(850) 982-9118

NPI assigned

Feb 16, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1013772250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6754 MYSTIC LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325269018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 PINE FOREST RD STE G",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325263935",
            "telephone_number": "850-982-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERWOOD",
        "first_name": "BRIANNA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-24-327091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Stovall Lazzaro, DNP FNP-C
• Jean Bernard Le Gall, P.A.
• Jessica R Le Noue, DO
• Anthony Nguyen Le, D.M.D
• Jada Michelle Leahy, M.D.
• Lebeau Clinic PL
• Andre Marquette Lebeau, D.M.D.
• Jacque P. Lebeau, MD
• Jacque V Lebeau, DMD
• Kelly Hambrook Lebeau, DMD

• Behavior Technician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.