Individual
MS. SHAWN NICHOLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 N 58TH ST, PHILADELPHIA, PA 19131-3009
(678) 855-2927
Mailing address
2122 N 58TH ST, PHILADELPHIA, PA 19131-3009
(678) 855-2927
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003995
PA
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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