Shanna Nicole Southern

NPI #1053183434 in Decatur, Alabama

Provider Information

NPI Number
1053183434
Entity Type
Individual
Name
Shanna Nicole Southern
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 27, 2023
Last Updated
Oct 27, 2023

Practice Location

Address
1690 BELTLINE RD SW STE B
State
Alabama
ZIP Code
35601-5505
Phone
(256) 621-2244

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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