Individual
SHAR-NEQUI GUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12727 MCMANUS BLVD # G, NEWPORT NEWS, VA 23602-4459
(757) 846-6959
Mailing address
PO BOX 572, LIGHTFOOT, VA 23090-0572
(757) 880-3067
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/12/2016
Last updated
04/25/2023
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