Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Destane Leak

Individual provider Behavior Technician · NPI 1114791886

Destane Leak is a Behavior Technician in Fayetteville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2023
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Practice location Address checks out

3649 Cape Center Dr
Fayetteville, NC 28304-4457
Phone: (910) 484-1711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-310444 (NC)

Record details

NPI number1114791886
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2023
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023

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