Shanice Fane

NPI #1215643192 in Hayti, Missouri

Provider Information

NPI Number: 1215643192
Entity Type: Individual
Name: Shanice Fane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 25, 2023
Last Updated: Jan 25, 2023

Practice Location

Address: 500 HIGHWAY J
City: Hayti
State: Missouri
ZIP Code: 63851-1200
Phone: (573) 359-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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