Shivaun Markese Standley

NPI #1477169530 in Mount Dora, Florida

Provider Information

NPI Number: 1477169530
Entity Type: Individual
Name: Shivaun Markese Standley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 23, 2020
Last Updated: Sep 23, 2020

Practice Location

Address: 1718 JEFFERSON DR
City: Mount Dora
State: Florida
ZIP Code: 32757-4116
Phone: (321) 335-0547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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