Most Relevant Information
Provider Data
| NPI Number: | 1003697012 |
| Provider Name: | SHANA SIMONSON |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | BA.001734 |
Most Important Dates
| Enumeration Date: | 10/06/2023 |
| Last Updated: | 10/06/2023 |
Provider Practice Location
39 LINDEMAN DR
TRUMBULL
CT
066114740
Practice Location Phone/Fax
| Phone: | 2033658522 |
| Fax: |
Provider Mailing Location
39 LINDEMAN DR
TRUMBULL
CT
066114740
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |