Provider Demographics
NPI:1952190985
Name:RAYNOR, LEANNE (TEACHER OF SWD)
Entity type:Individual
Prefix:MS
First Name:LEANNE
Middle Name:
Last Name:RAYNOR
Suffix:
Gender:
Credentials:TEACHER OF SWD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TOMAHAWK CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2523
Mailing Address - Country:US
Mailing Address - Phone:631-708-6651
Mailing Address - Fax:
Practice Address - Street 1:1 TOMAHAWK CT
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2523
Practice Address - Country:US
Practice Address - Phone:631-708-6651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician