Individual
SHANNON MISKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
272 DUNNS MILL RD STE 145, BORDENTOWN, NJ 08505-4748
(877) 315-8080
Mailing address
373 S WILLOW ST STE 266, MANCHESTER, NH 03103-5751
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
01/11/2018
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