NPI 1003499559

Shantel Riddick

Practitioner Behavior Technician King of Prussia, PA

Practice location

Address: 1001 W 9th Ave STE C, King of Prussia, PA 19406-1209
Phone: (610) 831-1865
Fax: (615) 815-1946
Mailing address: 1321 Murfreesboro Pike STE 702, Nashville, TN 37217-2679

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003499559
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2021
Record last updated: 3 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.