Individual
MRS. SHANEKA NICHOLE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
315 5TH AVE SE, MOULTRIE, GA 31768-4728
(941) 720-3273
Mailing address
PO BOX 2375, MOULTRIE, GA 31776-2375
(941) 720-3273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/28/2016
Last updated
08/10/2020
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