Individual
SHAKEIRA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(877) 504-4141
Mailing address
1334 DREXEL AVE, ATLANTIC CITY, NJ 08401-3203
(619) 373-5034
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
NJ
Other
Enumeration date
03/03/2026
Last updated
03/03/2026
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