Individual
SHANSHAN RAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8687 25TH AVE, BROOKLYN, NY 11214-5401
(551) 999-1136
Mailing address
8687 25TH AVE, BROOKLYN, NY 11214-5401
(551) 999-1136
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-72845
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102093171
TEACHERS
NY
Enumeration date
01/30/2017
Last updated
12/26/2025
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