NPI 1053183434

Shanna Nicole Southern

Practitioner Behavior Technician Decatur, AL

Practice location

Address: 1690 Beltline Rd SW STE B, Decatur, AL 35601-5505
Phone: (256) 621-2244

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-23-299302 (AL)

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Registry record

NPI: 1053183434
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Oct 2023
Record last updated: 27 Oct 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.