Leonard Leroy Mann, is a
Behavior Technician based in Wasilla, Alaska. Leonard Leroy Mann is licensed to practice in * (Not Available) (license number ) and his current practice location is
3085 S St Mihiel Cir, Wasilla, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 223-5371.
NPI number for Leonard Leroy Mann is 1205471620 and his current mailing address is Po Box 671872, Chugiak, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205471620.
Healthcare Provider's Profile
| Full Name | Leonard Leroy Mann |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 3085 S St Mihiel Cir, Wasilla, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205471620
- Provider Enumeration Date: 11/08/2019
- Last Update Date: 02/03/2021
Medical Identifiers
Medical identifiers for Leonard Leroy Mann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205471620 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leonard Leroy Mann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Leonard Leroy Mann,
Po Box 671872,
Chugiak, AK 99567-1872
Ph: (907) 223-5371 | Leonard Leroy Mann,
3085 S St Mihiel Cir,
Wasilla, AK 99654-0282
Ph: (907) 223-5371 |
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