Individual
SHAKIERA M HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 A CARMANS RD, PMB 101, MASSAPEQUA, NY 11758
(631) 461-6610
Mailing address
915 A CARMANS RD, PMB 101, MASSAPEQUA, NY 11758
(631) 461-6610
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/27/2021
Last updated
06/27/2021
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