Smith, Shanekqua Rena

Smith, Shanekqua Rena is an individual health care provider with primary practice located at 501 W Broadway Ste 800 , San Diego CA 92101-3546. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Smith, Shanekqua Rena can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
501 W Broadway Ste 800 San Diego CA 92101-3546
Phone: (000) 000-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X California
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Georgia

Profile Details

NPI number 1518584168
LBN Legal business name Smith, Shanekqua Rena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2020
Last updated May 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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