Individual
JAMELA SHEREE HIGHTOWER GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3635 BELL BLVD FL 3, BAYSIDE, NY 11361-2167
(818) 345-2345
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NY
Other
Enumeration date
12/05/2024
Last updated
01/20/2025
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