Individual
LEIGHTON CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2631 MERRICK RD, BELLMORE, NY 11710-5730
(516) 590-7575
Mailing address
11037 153RD ST, JAMAICA, NY 11433-3625
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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