Shannon Patricia Duffy
Behavior Analyst in North Fort Myers, FL. Individual provider (NPI-1).
NPI number1063910586
StatusActive
Last updated in NPPESOct 27, 2022
Details
- NPI
- 1063910586
- Entity type
- Individual (NPI-1)
- Name
- Shannon Patricia Duffy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 30, 2018
- Certification date
- Oct 27, 2022
- Last updated
- Oct 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
1999 Longfellow DrNorth Fort Myers, FL 33903-6444
Phone 239-995-8073
Mailing address
1999 Longfellow DrNorth Fort Myers, FL 33903-6444
Phone 239-995-8073
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