Individual
DEE'SHA SHULAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 N LOOP 1604 E STE 150, SAN ANTONIO, TX 78232-1450
(210) 761-3504
Mailing address
18726 S WESTERN AVE STE 408, GARDENA, CA 90248-3858
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TX
106S00000X
Behavior Technician
RBT-20-133070
TX
Other
Enumeration date
09/22/2020
Last updated
07/27/2022
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