NPI 1043950611
Carrie Jo Shane
Practice location
- Address
- 210 Anthoni Ave STE 300, Wheeling, WV 26003-6403
- Phone
- (304) 242-6722
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1043950611
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 31 Mar 2022
- Record last updated
- 31 Mar 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.