Fulton, Shaquanna Jaleel

Fulton, Shaquanna Jaleel is an sole proprietor health care provider with primary practice located at 27777 Inkster Rd , Farmington Hills MI 48334-5310. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Nursing Service Related Providers / Doula, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Fulton, Shaquanna Jaleel can be contacted via phone (248) 435-6561.

Contact Information

Primary practice address
27777 Inkster Rd Farmington Hills MI 48334-5310
Phone: (248) 435-6561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Nursing Service Related Providers / Doula 374J00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1114690682
LBN Legal business name Fulton, Shaquanna Jaleel
Credentials MSP, CBE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2021
Last updated May 5th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114690682 NPPES
Maryland MEDICAID 000

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