Individual
SHANICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3613 READING AVE, HAMMONTON, NJ 08037-8013
(267) 670-5024
Mailing address
3613 READING AVE, HAMMONTON, NJ 08037-8013
(267) 670-5024
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NJ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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