# WATCH ME SHINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811124662
- **Authorized official:** MRS. TIFFANY S. PETRONIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (207) 664-8132

## Contact information

- **Practice address:** 28 GILMAN PLAZA, BANGOR, ME 04401
- **Practice address phone:** (207) 990-0162
- **Practice address fax:** (207) 990-0163
- **Mailing address:** 122 JILLIAN WAY, C/O TIFFANY PETRONIS, GLENBURN, ME 04401
- **Mailing address phone:** (207) 990-0162
- **Mailing address fax:** (207) 990-0163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 609327 | ME | Yes |

## Other

- **Enumeration date:** 06/19/2009
- **Last updated:** 02/13/2015