Shasta Ingram

NPI #1801305453 in Delta, Colorado

Provider Information

NPI Number
1801305453
Entity Type
Individual
Name
Shasta Ingram
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Sep 27, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
115 GRAND AVE STE 2
City
Delta
ZIP Code
81416-2000
Phone
(970) 874-0464

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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