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Individual

SHEA KYTOMAA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
210 COBB ST, ITHACA, NY 14850-4910
(914) 573-3472
Mailing address
210 COBB ST, ITHACA, NY 14850-4910

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11934890
NY
103K00000X
Behavior Analyst
Primary
2956
TX

Other

Enumeration date
12/02/2019
Last updated
01/27/2026
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