Provider Demographics
NPI:1558786962
Name:JAMES, SHEMONA
Entity Type:Individual
Prefix:MS
First Name:SHEMONA
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 NE 209TH ST # 28-106
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1220
Mailing Address - Country:US
Mailing Address - Phone:954-557-2453
Mailing Address - Fax:
Practice Address - Street 1:925 NE 209TH ST
Practice Address - Street 2:28-106
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-1220
Practice Address - Country:US
Practice Address - Phone:954-557-2453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst