NPI 1356195333
Shakilah Kai Reddock
Practice location
- Address
- 100 Intrepid Ln, Syracuse, NY 13205-2546
- Phone
- (315) 391-2239
- Mailing address
- 110 Carlton Dr, De Witt, NY 13214-1407
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1356195333
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Apr 2024
- Record last updated
- 15 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.