Individual
SHANYLA 1 (888) 754-0398 SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2666 STATE ST, HAMDEN, CT 06517-2232
(888) 754-0398
Mailing address
322 GREENWICH AVE, NEW HAVEN, CT 06519-2741
(475) 241-4309
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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