Individual
MS. LEAH FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED ECSE
Contact information
Practice address
2465 RIVERSIDE DR, WANTAGH, NY 11793-4543
(516) 660-3556
Mailing address
2465 RIVERSIDE DR, WANTAGH, NY 11793-4543
(516) 660-3556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
764703
NY
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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