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Individual

SHENELLE EBONY ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2630 SABAL PALM DR, MIRAMAR, FL 33023-4517
(954) 589-4243
Mailing address
2630 SABAL PALM DR, MIRAMAR, FL 33023-4517
(954) 589-4243

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
FL
222Q00000X
Developmental Therapist
Primary
FL

Other

Enumeration date
07/15/2019
Last updated
04/06/2024
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