Individual
SHANNON ANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
888 EASTON AVE, SOMERSET, NJ 08873-1898
(732) 427-9442
Mailing address
888 EASTON AVE, SOMERSET, NJ 08873-1898
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54232
NJ
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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