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Individual
SHANIQUA T BUTLER
Active
Individual
SHANIQUA T BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52690
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-52690
BACB
—
Enumeration date
09/01/2021
Last updated
09/01/2021
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