Shaniah Dickens

NPI #1104622414 in South Bend, Indiana

Provider Information

NPI Number: 1104622414
Entity Type: Individual
Name: Shaniah Dickens
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 19, 2025
Last Updated: Feb 19, 2025

Practice Location

Address: 1109 SHERMAN AVE
City: South Bend
State: Indiana
ZIP Code: 46616-1540
Phone: (574) 904-3688

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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