Individual
MS. ANDREA MARIANA LEVERIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIAL ED. TEACHER
Contact information
Practice address
348 E 146TH ST, BRONX, NY 10451-5702
(718) 585-0600
Mailing address
9 RUGBY DR, SHIRLEY, NY 11967-4217
(155) 157-4666
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
637552121
NY
Other
Enumeration date
07/14/2012
Last updated
03/09/2022
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