Individual
SHANNON MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 BEAVERSON BLVD STE 11, BRICK, NJ 08723-7869
(866) 557-8669
Mailing address
8 GINIA ST, HOWELL, NJ 07731-2729
(732) 492-1935
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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