Individual
SHANIQUE ROCHELLE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-428 MOKUOLA ST STE 214A, WAIPAHU, HI 96797-3396
(808) 944-2882
Mailing address
1422 NW 47TH TER, COCONUT CREEK, FL 33063-3955
(954) 673-2039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/20/2024
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