Individual
SHANTE A BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 BROAD ST APT 402, NEWARK, NJ 07102-2695
(917) 420-1361
Mailing address
100 INTERNATIONAL DR, BUDD LAKE, NJ 07828-1383
(223) 333-2828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
728537534
NY
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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