MICHAEL SHANE JOHNSON

MELVILLE, NY
NPI1568089506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2020-06-25
Last Update Date2020-06-25
Business Address
MICHAEL SHANE JOHNSON
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
Mailing Address
MICHAEL SHANE JOHNSON
1199 VLEY RD
SCHENECTADY, NY 12302-6538
Phone number: 518-630-1968
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