Debra Shattuck

NPI #1225497316 in Portage, Michigan

Provider Information

NPI Number
1225497316
Entity Type
Individual
Name
Debra Shattuck
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Analyst
Enumeration Date
Feb 17, 2016
Last Updated
Feb 17, 2016

Practice Location

Address
1617 E MILHAM AVE
Address 2
STE 2
ZIP Code
49002-3049
Phone
(269) 303-5931

Specialties & Taxonomy Codes

Specialty
Behavior Analyst

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