Individual
DEBORAH LEE SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
226 W 108TH ST APT 6D, NEW YORK, NY 10025-2950
(917) 544-9244
Mailing address
226 W 108TH ST APT 6D, NEW YORK, NY 10025-2950
(917) 544-9244
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
12345
NY
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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