Individual
MARQUASHA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 SPRINGSIDE AVE APT 2, NEW HAVEN, CT 06515-1043
(203) 308-7148
Mailing address
2666 STATE ST STE A3, HAMDEN, CT 06517-2232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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