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Individual

SHANNEN GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3 HYNES CT, FARMINGDALE, NY 11735-2259
(516) 531-3673
Mailing address
511 MCCALL AVE, WEST ISLIP, NY 11795-3709

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
03/10/2025
Last updated
03/10/2025
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