Individual
SHAKERIA CORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
800 BIRCHFIELD DRIVE, SUITE 801, MOUNT LAUREL, NJ 08054
(484) 681-2170
Mailing address
800 BIRCHFIELD DRIVE, SUITE 801, MOUNT LAUREL, NJ 08054
(484) 681-2170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-99367
NJ
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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