Rena Shea Dixon

NPI #1104608389 in Mastic Beach, New York

Provider Information

NPI Number: 1104608389
Entity Type: Individual
Name: Rena Shea Dixon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 20, 2023
Last Updated: Oct 20, 2023

Practice Location

Address: 19 PINEWAY AVE
City: Mastic Beach
State: New York
ZIP Code: 11951-1318
Phone: (860) 797-5554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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