Individual
LAKECIA DAVIS-FLUECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1085 E 43RD ST, BROOKLYN, NY 11210-3525
(718) 801-2623
Mailing address
1085 E 43RD ST, BROOKLYN, NY 11210-3525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1113919
NY
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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