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Organization

LEAP YEARS SERVICES FOR CHILDREN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIMBERLY SPANJOL PH.D., BCBA-D, LMHC (CO-DIRECTOR)
(917) 536-6728
Entity
Organization

Contact information

Practice address
215 W 90TH ST, 1D, NEW YORK, NY 10024-1221
(917) 536-6728
Mailing address
215 W 90TH ST, 1D, NEW YORK, NY 10024-1221
(917) 536-6728

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005431
NY
103K00000X
Behavior Analyst
Primary
000055
NY

Other

Enumeration date
12/17/2014
Last updated
12/17/2014
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