Leanne Agbulos
Individual provider Active NPI Behavior Technician · San Bruno, CA
NPI 1194383679 · NPPES record last updated May 30, 2019
Key facts
- NPI
- 1194383679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1001 Sneath LN Ste 200
San Bruno, CA 94066-2349 - Phone
- (510) 268-8120
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1001 Sneath LN Ste 200
San Bruno, CA 94066-2349
Mailing address
1001 Sneath LN Ste 200
San Bruno, CA 94066-2349
Phone (510) 268-8120
Other providers in San Bruno, CA
- Camryn Adams
- Jordan Blake Adams
- Allisson Mae Advincula
- Melanie Advincula
- Crystal Dominique Santa Maria Afuang
- Yanubi Elizabeth Aguayo
- Manuel Aguilar Arellano
- Krysten Aguilar
- Marisol Aguilar
- Constance Aguirre
All providers in San Bruno, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.