Shantaviuis Senise Banks
NPI #1417820952 in Fort Valley, Georgia
Provider Information
- NPI Number
- 1417820952
- Entity Type
- Individual
- Name
- Shantaviuis Senise Banks
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 29, 2025
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 703 JULIUS C SIMMONS AVE APT 7C
- City
- Fort Valley
- State
- Georgia
- ZIP Code
- 31030-2568
- Phone
- (706) 741-9494
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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