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

Justin Leatherman

Individual provider Behavior Technician · NPI 1396472346

Justin Leatherman is a Behavior Technician in Maple Grove, Minnesota. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

8980 Zachary Ln N
Maple Grove, MN 55369-4018
Phone: (763) 231-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1396472346
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022
Mailing address8980 Zachary Ln N, Maple Grove, MN 55369-4018

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