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Leaha Surafel

Behavior Technician in Melville, NY. Individual provider (NPI-1).

NPI number1609738947
StatusActive
Last updated in NPPESNov 25, 2025

Details

NPI
1609738947
Entity type
Individual (NPI-1)
Name
Leaha Surafel
Sole proprietor
No
Enumeration date
Nov 25, 2025
Certification date
Nov 25, 2025
Last updated
Nov 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899

Phone 631-385-7780

Mailing address

225 Broadhollow Rd Ste 402
Melville, NY 11747-4899

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