Individual
SHAUNA GEHSHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 JEFFERSON ST, NESCONSET, NY 11767-2911
(631) 766-3102
Mailing address
17 JEFFERSON ST, NESCONSET, NY 11767-2911
(631) 766-3102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000926
NY
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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