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Individual

SHANNON CALISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
802 FEDERAL RD, BROOKFIELD, CT 06804-4008
(203) 244-7435
Mailing address
32 WALKER RD, HOPEWELL JUNCTION, NY 12533-5527
(914) 645-3842

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
12043457
MA

Other

Enumeration date
09/04/2020
Last updated
09/23/2024
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