Individual
SHIGA SUNNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7318 GREGORY BLVD, MILFORD, DE 19963-3945
(845) 270-4640
Mailing address
7318 GREGORY BLVD, MILFORD, DE 19963-3945
(845) 270-4640
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002614
VA
Other
Enumeration date
10/22/2020
Last updated
07/28/2022
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