Moore, Shadae

Moore, Shadae is an sole proprietor health care provider with primary practice located at 44 Malbone St # 3 , Providence RI 02908-3629. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Moore, Shadae can be contacted via phone (978) 918-0483.

Contact Information

Primary practice address
44 Malbone St # 3 Providence RI 02908-3629
Phone: (978) 918-0483
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1700476926
LBN Legal business name Moore, Shadae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2021
Last updated Jan 21st, 2021 - about 4 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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