Shaun Johnson
Shaun Johnson is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Valley Stream, New York. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
14 Ivanhoe PlValley Stream, NY 11580-2902
Phone: (917) 975-3906
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X |
|---|
Record details
| NPI number | 1427224369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 30, 2008 |
| Last updated in NPPES | April 30, 2008 |
| Mailing address | 14 Ivanhoe Pl, Valley Stream, NY 11580-2902 |
Other providers in Valley Stream
-
Christopher Residence
70 McKeon Ave, Valley Stream, NY 11580-3904 · (631) 665-3434
-
Medicaid
329 W Jamaica Ave, Valley Stream, NY 11580-5322 · (516) 812-7614