Shaneetha Ingram

NPI #1619527272 in Elmhurst, Illinois

Provider Information

NPI Number: 1619527272
Entity Type: Individual
Name: Shaneetha Ingram
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 16, 2019
Last Updated: Sep 16, 2019

Practice Location

Address: 650 W GRAND AVE STE 207
City: Elmhurst
State: Illinois
ZIP Code: 60126-1025
Phone: (844) 263-1613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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