Shanice V Anderson

NPI #1316578768 in Woodstock, Georgia

Provider Information

NPI Number: 1316578768
Entity Type: Individual
Name: Shanice V Anderson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 3, 2020
Last Updated: Feb 18, 2020

Practice Location

Address: 3229 S CHEROKEE LN STE 1400
City: Woodstock
State: Georgia
ZIP Code: 30188-4461
Phone: (470) 499-2482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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