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

Shirley Roque

Individual provider Behavior Technician · NPI 1558182212

Shirley Roque is a Behavior Technician in Bloomsburg, Pennsylvania. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

351 Tenny St
Bloomsburg, PA 17815-3264
Phone: (570) 802-3097
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1558182212
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

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