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Individual

SHANTIERRA ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2603 W RAWSON AVE STE 132, OAK CREEK, WI 53154-8422
(414) 722-2735
Mailing address
3436 S 18TH ST, MILWAUKEE, WI 53215-4910
(414) 722-2735

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
07/21/2026
Last updated
07/21/2026
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