Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shawn Edward Roque

Individual provider Day Training/Habilitation Specialist · NPI 1043155039

Mr. Shawn Edward Roque is a Day Training/Habilitation Specialist in Long Beach, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

4510 E Pacific Coast Hwy Ste 600
Long Beach, CA 90804-6914
Phone: (562) 346-1100
Fax: (562) 961-7604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)

Record details

NPI number1043155039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address4510 E Pacific Coast Hwy Ste 600, Long Beach, CA 90804-6914

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