Individual
JESSICA LEDUC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 AVIS DR STE 101, LATHAM, NY 12110-2650
(518) 821-5124
Mailing address
4 AVIS DR STE 101, LATHAM, NY 12110-2650
(518) 821-5124
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002486
NY
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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