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1023714060
SHAVON QUEENIE JOHNS
MELVILLE, NY
NPI
1023714060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
SHAVON QUEENIE JOHNS
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
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Mailing Address
SHAVON QUEENIE JOHNS
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
Copy
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