Most Relevant Information
Provider Data
NPI Number: | 1003366626 |
Provider Name: | LYNN SHIN |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 10/06/2016 |
Last Updated: | 10/13/2016 |
Provider Practice Location
300 WINSTON DR
1701
CLIFFSIDE PARK
NJ
070103236
Practice Location Phone/Fax
Phone: | 5512589247 |
Fax: |
Provider Mailing Location
300 WINSTON DR
1701
CLIFFSIDE PARK
NJ
070103236
Provider Mailing Phone/Fax
Phone: | 5512589247 |
Fax: |