Shanita Shan Grace

NPI #1023705407 in Dania, Florida

Provider Information

NPI Number
1023705407
Entity Type
Individual
Name
Shanita Shan Grace
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Apr 18, 2023
Last Updated
Apr 18, 2023

Practice Location

Address
506 NW 3RD ST APT 2
City
Dania
State
Florida
ZIP Code
33004-2701
Phone
(754) 273-0262

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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