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

Leicy Maribi Granadillo Carroz

Individual provider Behavior Technician · NPI 1255297164

Leicy Maribi Granadillo Carroz is a Behavior Technician in Davenport, Florida. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2243 N Blvd W
Davenport, FL 33837-8990
Phone: (863) 270-1339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1255297164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2026
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

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