Individual
LESLIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 SOUTH AVE STE 405, STATEN ISLAND, NY 10314-3414
(718) 556-1616
(718) 442-9962
Mailing address
135 AMERSFORT PL APT 3E, BROOKLYN, NY 11210-2318
(347) 228-3089
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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