Shaunda Lillian Pride

NPI #1275327579 in Mequon, Wisconsin

Provider Information

NPI Number: 1275327579
Entity Type: Individual
Name: Shaunda Lillian Pride
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 9, 2025
Last Updated: Apr 9, 2025

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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