Shakoria J Anderson

NPI #1184280299 in Portland, Maine

Provider Information

NPI Number: 1184280299
Entity Type: Individual
Name: Shakoria J Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 14, 2019
Last Updated: May 14, 2019

Practice Location

Address: 527 OCEAN AVE STE 19
City: Portland
State: Maine
ZIP Code: 04103-4972
Phone: (207) 573-7424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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