Individual
JEQUINNA LARIN MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
341 TRINITY ST, MALVERNE, NY 11565-1234
(516) 229-1194
Mailing address
1390 LINCOLN TER, PEEKSKILL, NY 10566-3903
(914) 382-6301
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003922
NY
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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