Most Relevant Information
Provider Data
| NPI Number: | 1003592643 |
| Provider Name: | SHAQUIRA MARIE THOMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/27/2023 |
| Last Updated: | 06/27/2023 |
Provider Practice Location
428 BALTIMORE AVE
CUMBERLAND
MD
215022502
Practice Location Phone/Fax
| Phone: | 3019960225 |
| Fax: |
Provider Mailing Location
428 BALTIMORE AVE
CUMBERLAND
MD
21502
Provider Mailing Phone/Fax
| Phone: | 3019960225 |
| Fax: |