Individual
SHANNON YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E 177TH STREET, 1 J, BRONX, NY 10453
(917) 346-5896
Mailing address
110 E 177TH ST, 1J, BRONX, NY 10453-5918
(917) 346-5896
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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