Individual
LEIGH ANN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
166 WILLIAMS WAY S, BAITING HOLLOW, NY 11933-1333
(631) 591-9050
Mailing address
166 WILLIAMS WAY S, BAITING HOLLOW, NY 11933-1333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
958889
NY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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