Shaquana Cue
Individual provider Active NPI Developmental Therapist · Roswell, GA
NPI 1922473602 · NPPES record last updated Dec 7, 2015
Key facts
- NPI
- 1922473602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076-4899 - Phone
- (954) 603-7885
- NPI assigned
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Yes |
Addresses
Primary practice location
300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076-4899
Mailing address
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZCS0819950 | Other | SC | BLUE CROSS BLUE SHIELD |
Other providers in Roswell, GA
- Debra Ann Cruce
- Antequa Crumley
- Luzmayris Cruz
- CTV Medical Inc.
- Michael James Cudmore
- Ashli Marissa Culver
- Cumberland Psychiatric Group
- Timothy Brian Cummings
- Charles Carey Cummins
- Thomas Alan Cunningham
All providers in Roswell, GA · Developmental Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.