Individual
SHANIKA MOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 THUNDER CIR, BENSALEM, PA 19020-2163
(609) 508-6493
Mailing address
346 THUNDER CIR, BENSALEM, PA 19020-2163
(609) 508-6493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00400700
NJ
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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