Hallie Shockome, BCBA
NPI #1013618578 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1013618578
- Entity Type
- Individual
- Name
- Hallie Shockome, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Mar 13, 2023
- Last Updated
- Feb 17, 2025
Practice Location
- Address
- 5601 COVENTRY LN
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-7145
- Phone
- (260) 459-6040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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