Individual
LAYTOYA ANN MCCLEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MS
Contact information
Practice address
2 LOGAN SQ STE 300, PHILADELPHIA, PA 19103-2733
(310) 856-0800
Mailing address
2 LOGAN SQ STE 3000, PHILADELPHIA, PA 19103-2711
(215) 833-9441
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/26/2022
Last updated
03/29/2022
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