MISS Vanessa Leal, MSED, BCBA

NPI #1912269770 in Medford, New York

Provider Information

NPI Number: 1912269770
Entity Type: Individual
Name: MISS Vanessa Leal, MSED, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MSED, BCBA
Enumeration Date: Jun 7, 2012
Last Updated: Jun 7, 2012

Practice Location

Address: 1 SCOUTING BLVD
City: Medford
State: New York
ZIP Code: 11763-2220
Phone: (631) 297-3213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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