| Shea Kytomaa Lba PC | |
|
210 Cobb St Ithaca NY 14850-4910 | |
| (914) 573-3472 | |
| Not Available |
| Full Name | Shea Kytomaa Lba PC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 210 Cobb St, Ithaca, New York |
| Authorized Official Name and Position | Shea Kytomaa (OWNER) |
| Authorized Official Contact | 9145733472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shea Kytomaa Lba PC 210 Cobb St Ithaca NY 14850-4910 | Shea Kytomaa Lba PC 210 Cobb St Ithaca NY 14850-4910 Ph: (914) 573-3472 |
| NPI Number | 1548119001 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 01/27/2026 |
| Certification Date | 01/27/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548119001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
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