Individual
MRS. SHANNON DEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
434 FORSYTH RD, SALEM, CT 06420-4018
(860) 483-2089
Mailing address
434 FORSYTH RD, SALEM, CT 06420-4018
(860) 483-2089
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39219
CO
Other
Enumeration date
12/21/2019
Last updated
12/21/2019
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