Individual
LAURA MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 LEEWATER AVE, MASSAPEQUA, NY 11758-8314
(516) 795-2628
Mailing address
59 LEEWATER AVE, MASSAPEQUA, NY 11758-8314
(516) 795-2628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000796-1
NY
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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