Individual
SHELETA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7250 WALNUT ST APT C425, UPPER DARBY, PA 19082-3826
(267) 972-5304
Mailing address
7250 WALNUT ST APT C425, UPPER DARBY, PA 19082-3826
(267) 972-5304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-214186
PA
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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