Most Relevant Information
Provider Data
| NPI Number: | 1003584228 |
| Provider Name: | SHANTAYE MCMORROW |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/01/2021 |
| Last Updated: | 09/01/2021 |
Provider Practice Location
500 BI COUNTY BLVD
FARMINGDALE
NY
117353988
Practice Location Phone/Fax
| Phone: | 7182641640 |
| Fax: |
Provider Mailing Location
500 BI COUNTY BLVD
FARMINGDALE
NY
117353988
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |