Individual
SHAMAR HOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1824 SE 59TH AVE, PORTLAND, OR 97215-3431
(541) 821-3924
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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