Individual
MS. SHADAE S MANOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 CLINTON AVE APT 8E, BROOKLYN, NY 11238-1133
(347) 993-7248
Mailing address
355 CLINTON AVE APT 8E, BROOKLYN, NY 11238-1133
(347) 993-7248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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