Individual
LEIGHTON SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9235 224TH ST, QUEENS VILLAGE, NY 11428-1467
(646) 330-0049
Mailing address
9235 24TH STREET, QUEENS VILLAGE, NY 11428
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2015
Last updated
05/09/2017
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