Individual
ANI SHADUNTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2571 E 17TH ST, BROOKLYN, NY 11235-3585
(718) 412-9777
Mailing address
211 BRIGHTON 15TH ST APT 4D, BROOKLYN, NY 11235-5829
(904) 887-8743
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2012405261
NY
174400000X
Specialist
Primary
2012405261
NY
Other
Enumeration date
04/13/2026
Last updated
04/30/2026
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