Individual
SHANNON MOYNIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 W 86TH ST APT 1A, NEW YORK, NY 10024-3416
(203) 605-0246
Mailing address
147 W 86TH ST APT 1A, NEW YORK, NY 10024-3416
(203) 605-0246
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002938
NY
174400000X
Specialist
—
—
Other
Enumeration date
06/28/2012
Last updated
09/25/2023
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