Shante Hairston

NPI #1386349322 in Windsor Mill, Maryland

Provider Information

NPI Number: 1386349322
Entity Type: Individual
Name: Shante Hairston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 31, 2023
Last Updated: Mar 31, 2023

Practice Location

Address: 7131 AMBASSADOR RD STE 150
City: Windsor Mill
State: Maryland
ZIP Code: 21244-3077
Phone: (312) 965-2997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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