Provider Demographics
NPI:1356221766
Name:QUASHIE, SHARNEIQUA TANIA
Entity type:Individual
Prefix:
First Name:SHARNEIQUA
Middle Name:TANIA
Last Name:QUASHIE
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 1:901 LOCKE ST
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33825-4796
Mailing Address - Country:US
Mailing Address - Phone:863-296-8495
Mailing Address - Fax:863-582-9346
Practice Address - Street 1:901 LOCKE ST
Practice Address - Street 2:
Practice Address - City:AVON PARK
Practice Address - State:FL
Practice Address - Zip Code:33825-4796
Practice Address - Country:US
Practice Address - Phone:863-296-8495
Practice Address - Fax:863-582-9346
Is Sole Proprietor?:No
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB651981106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician