Individual
SHANE MORGAN TRIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1970 52ND ST, BROOKLYN, NY 11204-1731
(718) 360-9548
Mailing address
PO BOX 412, MOUNT KISCO, NY 10549-0412
(914) 924-0379
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45706
—
Other
Enumeration date
12/03/2020
Last updated
05/24/2021
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