Most Relevant Information
Provider Data
| NPI Number: | 1003637018 |
| Provider Name: | TESSA LAUREN SHOEMAKER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/22/2024 |
| Last Updated: | 10/22/2024 |
Provider Practice Location
407 GLENN AVE
EGG HARBOR TOWNSHIP
NJ
082346109
Practice Location Phone/Fax
| Phone: | 7035641634 |
| Fax: |
Provider Mailing Location
326 HERITAGE WAY
TUCKERTON
NJ
080872853
Provider Mailing Phone/Fax
| Phone: | 6097729330 |
| Fax: |