Individual
DR. KARYN VACANTI-SHOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
6 N MAIN ST, SUITE 110, FAIRPORT, NY 14450-1524
(585) 377-6590
(585) 377-6605
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 449-0994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
000291
NY
103K00000X
Behavior Analyst
1-08-4553
NY
103TC0700X
Clinical Psychologist
Primary
021154
NY
Other
Enumeration date
01/23/2012
Last updated
02/12/2019
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