MEDICARE: SHAMEKA L LONEY

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
1	103K00000X	Behavior Analyst		NY

General Provider Information

NPI Number	:	1942792528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAMEKA L LONEY

Provider Business Mailing Address
First Line	:	59 OLD MAMARONECK RD APT 6E
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-1913
Country	:	US
Telephone Number	:	914-882-6611
Fax Number	:

Provider Business Practice Location Address
First Line	:	59 OLD MAMARONECK RD APT 6E
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-1913
Country	:	US
Telephone Number	:	914-882-6611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2018
Last Update Date	:	05/31/2018

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Directions to “ SHAMEKA L LONEY ” Practice Location

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