NPI 1003520289
Shantoria Tatum
Practice location
- Address
- 875 Rays Bridge Rd STE 103, Whispering Pines, NC 28327-5910
- Phone
- (888) 392-8642
- Mailing address
- 214 Second St, Fayetteville, NC 28301-0200
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003520289
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jan 2023
- Record last updated
- 11 Jan 2023
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.