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Individual
SHANEISA MAGAMBO
Active
Individual
SHANEISA MAGAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BH007807
PA
251E00000X
Home Health Agency
Primary
G9T8F4K3
PA
405300000X
Prevention Professional
22466
PA
Other
Enumeration date
04/10/2023
Last updated
10/03/2025
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