Quin'tasia Moniah Shaw

NPI #1245060326 in Mequon, Wisconsin

Provider Information

NPI Number: 1245060326
Entity Type: Individual
Name: Quin'tasia Moniah Shaw
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 5, 2024
Last Updated: Aug 5, 2024

Practice Location

Address: 6140 W EXECUTIVE DR
City: Mequon
State: Wisconsin
ZIP Code: 53092-4499
Phone: (888) 754-0398

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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