Individual
SHAUNDA LILLIAN PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
6140 W EXECUTIVE DR, MEQUON, WI 53092-4499
(888) 754-0398
Mailing address
6026 N SHERMAN BLVD, MILWAUKEE, WI 53209-3521
(414) 356-4437
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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