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Individual

MS. SHANNAN TERESA HEANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. BCBA

Contact information

Practice address
1050 MAIN ST, SUITE 23, EAST GREENWICH, RI 02818-3161
(401) 885-0639
Mailing address
1050 MAIN ST, SUITE 23, EAST GREENWICH, RI 02818-3161
(401) 885-0639

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
10/21/2015
Last updated
10/27/2015
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