Individual
MR. IRA LEYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 SOREN ST, STATEN ISLAND, NY 10314-5037
(917) 705-3875
Mailing address
27 SOREN ST, STATEN ISLAND, NY 10314-5037
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB356597
NY
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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