Individual
SHASHANA GOODING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11821 QUEENS BLVD STE 612, FOREST HILLS, NY 11375-7206
(929) 372-7188
Mailing address
17 HARRIMAN AVE, HEMPSTEAD, NY 11550-5631
(917) 915-2750
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2602376
NY
Other
Enumeration date
01/30/2024
Last updated
02/06/2024
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