Individual
SHAREECE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11119 200TH ST, SAINT ALBANS, NY 11412-2137
(917) 474-6476
Mailing address
11119 200TH ST, SAINT ALBANS, NY 11412-2137
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
103K00000X
NY
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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