Keyonna Shutes
NPI #1811706930 in Springfield, Illinois
Provider Information
- NPI Number
- 1811706930
- Entity Type
- Individual
- Name
- Keyonna Shutes
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 3, 2025
- Last Updated
- Jan 3, 2025
Practice Location
- Address
- 614 N 6TH ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-5313
- Phone
- (574) 387-4313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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