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1003420241
SHANNON CALISE
BROOKFIELD, CT
NPI
1003420241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MA 12043457)
Enumeration Date
2020-09-04
Last Update Date
2024-09-23
Business Address
SHANNON CALISE BCBA
802 FEDERAL RD
BROOKFIELD, CT 06804-4008
Phone number: 203-244-7435
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Mailing Address
SHANNON CALISE BCBA
32 WALKER RD
HOPEWELL JUNCTION, NY 12533-5527
Phone number: 914-645-3842
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