Individual
MS. SHANNON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A
Contact information
Practice address
149 MAIN ST, COLD SPRING, NY 10516-2827
(484) 300-3144
Mailing address
149 MAIN ST, COLD SPRING, NY 10516-2827
(484) 300-3144
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
31001492
PA
Other
Enumeration date
08/14/2016
Last updated
08/14/2016
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