Individual
SHANTI THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W 32ND ST, NEW YORK, NY 10001-3212
(212) 564-2350
Mailing address
116 W 32ND ST, NEW YORK, NY 10001-3212
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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