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Shamara Cagle

Behavior Technician in Novi, MI. Individual provider (NPI-1).

NPI number1003372467
StatusActive
Last updated in NPPESFeb 11, 2019

Details

NPI
1003372467
Entity type
Individual (NPI-1)
Name
Shamara Cagle
Sex
Female
Sole proprietor
No
Enumeration date
Feb 11, 2019
Last updated
Feb 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

41521 W 11 Mile Rd
Novi, MI 48375-1803

Phone 248-912-1640

Mailing address

41521 W 11 Mile Rd
Novi, MI 48375-1803

Phone 248-912-1640

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