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NPI Profile for Dr SHANEQUIA D CLEMONS in LACKLAND AFB, TX.
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation Practitioner |
225400000X | |||
Behavior Analyst |
103K00000X | |||
Other Service Providers |
175T00000X | |||
Religious Nonmedical Practitioner |
374K00000X |
| NPI # | 1831605765 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/14/2017 | |
| Last updated | 11/23/2022 - About 4 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SHANEQUIA D CLEMONS
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SHANEQUIA D CLEMONS