Individual
KEITH SHATSOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2798 IMPERIAL POINT TER, CLERMONT, FL 34711-5245
(201) 913-9302
Mailing address
2798 IMPERIAL POINT TER, CLERMONT, FL 34711-5245
(201) 913-9302
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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