Individual
SHANNA BAHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 MARY AVE APT 2, EAST PROVIDENCE, RI 02914-3517
(401) 699-2312
Mailing address
42 MARY AVE APT 2, EAST PROVIDENCE, RI 02914-3517
(401) 699-2312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
228
RI
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
09/10/2012
Last updated
12/30/2024
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