Individual
SHANJAMARIE GENEVIE WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 LAKESIDE DR APT 232, MARGATE, FL 33063-7606
(954) 275-0395
Mailing address
422 LAKESIDE DR APT 232, MARGATE, FL 33063-7606
(954) 275-0395
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
00000
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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