Individual
MRS. HEATHER ANN SHOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
300 GARDEN CITY PLZ, GARDEN CITY, NY 11530-3302
(516) 747-9039
Mailing address
173 MILLARD AVE, WEST BABYLON, NY 11704-7336
(516) 526-4721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-10407
NY
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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