Shannon White
Shannon White is an Early Intervention Provider Agency in Blue Point, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
235 Blue Point AveBlue Point, NY 11715-1261
Phone: (631) 363-5794
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Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X (NY) |
|---|
Record details
| NPI number | 1972395192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 22, 2025 |
| Last updated in NPPES | May 22, 2025 |
| Certification date | May 22, 2025 |
| Mailing address | 235 Blue Point Ave, Blue Point, NY 11715-1261 |
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235 Blue Point Ave, Blue Point, NY 11715-1261 · (631) 363-5794