Shontana A Hudson

NPI #1255802443 in Carol Stream, Illinois

Provider Information

NPI Number: 1255802443
Entity Type: Individual
Name: Shontana A Hudson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 260 E SAINT CHARLES RD APT 2C
City: Carol Stream
State: Illinois
ZIP Code: 60188-2388
Phone: (630) 747-3741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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