Individual
SHANDA ALEXANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
998 E 35TH ST, 1, BROOKLYN, NY 11210-3442
(347) 229-8661
Mailing address
998 E 35TH ST, 1, BROOKLYN, NY 11210-3442
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
640423121
NY
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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