Individual
CARLA YVETTE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 SAINT JOHNS ST, CENTRAL ISLIP, NY 11722-3648
(917) 854-0923
Mailing address
105 SAINT JOHNS ST, CENTRAL ISLIP, NY 11722-3648
(917) 854-0923
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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