Provider Demographics
NPI:1346054491
Name:HEBB, SHAKIRA ZOE
Entity type:Individual
Prefix:
First Name:SHAKIRA
Middle Name:ZOE
Last Name:HEBB
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 EDGEHILL RD
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-1327
Mailing Address - Country:US
Mailing Address - Phone:401-636-5116
Mailing Address - Fax:
Practice Address - Street 1:59 EDGEHILL RD
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-1327
Practice Address - Country:US
Practice Address - Phone:401-636-5116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-06
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician