Individual
SHANIA CAROL MARY MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED., BCBA, BSL
Contact information
Practice address
420 COWPATH RD, SOUDERTON, PA 18964-2036
(267) 203-1500
Mailing address
1012 CHANDLER ST, PHILADELPHIA, PA 19111-2611
(215) 350-9381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-47729
PA
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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