Wing, Shandrea

Wing, Shandrea is an individual health care provider with primary practice located at 1128 Beville Rd Suite A, Daytona Beach FL 32114-5747. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wing, Shandrea can be contacted via phone (386) 267-3161.

Contact Information

Primary practice address
1128 Beville Rd Suite A Daytona Beach FL 32114-5747
Phone: (386) 267-3161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1306387014
LBN Legal business name Wing, Shandrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2017
Last updated Mar 14th, 2017 - about 9 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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