Shashi Charles

NPI #1154781516 in Los Alamos, New Mexico

Provider Information

NPI Number: 1154781516
Entity Type: Individual
Name: Shashi Charles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2016
Last Updated: Oct 21, 2016

Practice Location

Address: 650 SAN ILDEFONSO RD APT C11
City: Los Alamos
State: New Mexico
ZIP Code: 87544-4201
Phone: (615) 596-4380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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