Individual
SHANNON WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1 ANDOVER RD, NEW FAIRFIELD, CT 06812-3012
(203) 885-9122
Mailing address
26 OVERLOOK LN, BREWSTER, NY 10509-4080
(845) 380-6452
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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