Shanel Blackson
NPI #1194265017 in N Las Vegas, Nevada
Provider Information
- NPI Number
- 1194265017
- Entity Type
- Individual
- Name
- Shanel Blackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 24, 2017
- Last Updated
- Feb 24, 2017
Practice Location
- Address
- 4142 CONSENSUS CT
- City
- N Las Vegas
- State
- Nevada
- ZIP Code
- 89032-6114
- Phone
- (702) 285-9892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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