Shante Black, is a
Behavior Analyst based in New York, New York. Shante Black is licensed to practice in Connecticut (license number 999) and her current practice location is
1178 Broadway Fl 3, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(917) 284-9393.
NPI number for Shante Black is 1861930414 and her current mailing address is 1178 Broadway Fl 3, New York, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861930414.
Healthcare Provider's Profile
Full Name | Shante Black |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 1178 Broadway Fl 3, New York, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861930414
- Provider Enumeration Date: 02/03/2017
- Last Update Date: 04/22/2025
Medical Identifiers
Medical identifiers for Shante Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861930414 | NPI | - | NPPES |
110026265E | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | 999 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shante Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shante Black, 1178 Broadway Fl 3, New York, NY 10001-5666 Ph: (917) 284-9393 | Shante Black, 1178 Broadway Fl 3, New York, NY 10001-5666 Ph: (917) 284-9393 |
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