Individual
SHANNON VALENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11596 MAPLE VIEW PL UNIT A, FORT DRUM, NY 13603-3506
(408) 832-3043
Mailing address
4770 WHITE PLAINS RD, BRONX, NY 10470-1136
(646) 647-1540
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-75431
—
Other
Enumeration date
06/23/2020
Last updated
09/17/2025
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