Individual
MS. SHAKILAH KAI REDDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 INTREPID LN, SYRACUSE, NY 13205-2546
(315) 391-2239
Mailing address
110 CARLTON DR, DE WITT, NY 13214-1407
(315) 391-2239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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