NPI 1043928815

Tosha Rochelle Shackelford

Practitioner Behavior Technician Poplar Bluff, MO

Practice location

Address: 3001 Warrior Ln, Poplar Bluff, MO 63901-8685
Phone: (573) 686-1200

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Missouri →

Registry record

NPI: 1043928815
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2022
Record last updated: 10 Nov 2022

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.