Provider Demographics
NPI:1427660380
Name:LEBLANC, BRANDY R (MED, BCBA, LBA)
Entity type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:R
Last Name:LEBLANC
Suffix:
Gender:
Credentials:MED, BCBA, LBA
Other - Prefix:MS
Other - First Name:BRANDY
Other - Middle Name:R
Other - Last Name:REBSTOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, BCBA, LBA
Mailing Address - Street 1:433 METAIRIE RD
Mailing Address - Street 2:SUITE 515
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005
Mailing Address - Country:US
Mailing Address - Phone:504-833-6730
Mailing Address - Fax:504-833-6731
Practice Address - Street 1:433 METAIRIE RD
Practice Address - Street 2:SUITE 515
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005
Practice Address - Country:US
Practice Address - Phone:504-833-6730
Practice Address - Fax:504-833-6731
Is Sole Proprietor?:No
Enumeration Date:2020-08-20
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-446103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst