Provider Demographics
NPI:1366854580
Name:TURNER, LEAH (BCBA)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:1325 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-6287
Practice Address - Country:US
Practice Address - Phone:678-486-1911
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-21-56143103K00000X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst