Individual
BREA LEDBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPECIAL EDUCATION
Contact information
Practice address
4 YALE ST, ISLIP, NY 11751-2117
(631) 748-5559
Mailing address
4 YALE ST, ISLIP, NY 11751-2117
(631) 748-5559
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
08/27/2025
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