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Individual

SHANICE CEPHAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
625 S GODDARD BLVD APT 101, KING OF PRUSSIA, PA 19406-2017
(267) 909-5445
Mailing address
8540 FAYETTE ST, PHILADELPHIA, PA 19150-1902

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/16/2026
Last updated
06/16/2026
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