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Individual
SHANNON RAIMONDO
Active
Individual
SHANNON RAIMONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001279
NY
103K00000X
Behavior Analyst
1-13-14477
NJ
Other
Enumeration date
04/17/2014
Last updated
06/22/2021
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