Individual
SHANNON CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 PARAMUS RD, PARAMUS, NJ 07652-1710
(201) 612-7800
Mailing address
2429A 6TH ST, FORT LEE, NJ 07024-7802
(201) 286-0136
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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