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1396180501
SHANNON LYNN CICCONE
CHEPACHET, RI
NPI
1396180501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: RI 1-13-12761)
Enumeration Date
2013-05-01
Last Update Date
2013-05-01
Business Address
MS. SHANNON LYNN CICCONE M.ED BCBA
21 NEW RD
CHEPACHET, RI 02814-2001
Phone number: 401-710-7195
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Mailing Address
MS. SHANNON LYNN CICCONE M.ED BCBA
21 NEW RD
CHEPACHET, RI 02814-2001
Phone number: 401-710-7195
Copy
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