Individual
MAKEDA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SWD (BIRTH-2ND GRADE
Contact information
Practice address
16112 130TH AVE, JAMAICA, NY 11434-2902
(347) 967-2790
Mailing address
16112 130TH AVE, JAMAICA, NY 11434-2902
(347) 967-2790
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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