NPI 1013622000

Shasta Lynn Edmonds

Practitioner Behavior Technician Mt Juliet, TN

Practice location

Address: 401 S Mount Juliet Rd STE 235-118, Mt Juliet, TN 37122-6359
Phone: (703) 506-0123
Mailing address: 938 Tiny Town Rd, Clarksville, TN 37042-4602

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Tennessee →

Registry record

NPI: 1013622000
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jan 2023
Record last updated: 16 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.