Individual
SHAQUASIA SHANELLE HIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(703) 564-1634
Mailing address
223 NIGHTINGALE SQ, MAYS LANDING, NJ 08330-5601
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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