Individual
SHAWN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 E 35TH ST, NEW YORK, NY 10016-4202
(646) 964-5913
Mailing address
192 VAN BUREN ST, BROOKLYN, NY 11221-1912
(347) 885-9471
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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