Individual
SHAYNE ANTHONY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 W 138TH ST BSMT, NEW YORK, NY 10031-7822
(347) 536-1991
Mailing address
466 MAIN ST # LL20, NEW ROCHELLE, NY 10801-6431
(646) 666-3088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/26/2019
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