Healthcare Provider Details

I. General information

NPI: 1629995394
Provider Name (Legal Business Name): KAYLEIGH SPECTOR MS, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2417 JERICHO TPKE # 124
GARDEN CITY PARK NY
11040-4710
US

IV. Provider business mailing address

2417 JERICHO TPKE # 124
GARDEN CITY PARK NY
11040-4710
US

V. Phone/Fax

Practice location:
  • Phone: 516-778-8871
  • Fax:
Mailing address:
  • Phone: 516-778-8871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number004947
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: