Shanea Deas
Behavior Technician in East Hartford, CT. Individual provider (NPI-1).
NPI number1184476996
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1184476996
- Entity type
- Individual (NPI-1)
- Name
- Shanea Deas
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2024
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
77 Hartland St Ste 108East Hartford, CT 06108-3259
Phone 860-754-0399
Mailing address
227 Woodlawn CirEast Hartford, CT 06108-2801
Phone 860-503-4097
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