Individual
SHANNON FAITH O'HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8403 57TH AVE, ELMHURST, NY 11373-4833
(718) 899-9060
Mailing address
7737 76TH ST, GLENDALE, NY 11385-8240
(917) 680-4377
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004582-01
NY
222Q00000X
Developmental Therapist
1695601231
NY
Other
Enumeration date
03/29/2023
Last updated
11/19/2025
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