Individual
SHIN AE SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20114 ROCKY HILL RD APT G1, BAYSIDE, NY 11361-3082
(718) 313-7590
Mailing address
20114 ROCKY HILL RD APT G1, BAYSIDE, NY 11361-3082
(718) 313-7590
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004320
NY
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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