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NPI Code Detail

MEDICARE: MISS PRISCILLA SHIN

MEDICARE: MISS PRISCILLA SHIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2106S00000XBehavior Technician
3103K00000XBehavior AnalystNC

General Provider Information

NPI Number : 1528593795
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS PRISCILLA SHIN
Provider Business Mailing Address
First Line : 500 FAIRWAY DR
Second Line : SUITE 102
City : DEERFIELD BEACH
State : FL
Zip : 33441-1814
Country : US
Telephone Number : 888-880-9270
Fax Number :
Provider Business Practice Location Address
First Line : 223 E CHATHAM ST STE 102
Second Line :
City : CARY
State : NC
Zip : 27511-3475
Country : US
Telephone Number : 954-603-7885
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2017
Last Update Date : 12/17/2023

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Directions to “ MISS PRISCILLA SHIN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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