NPI 1093224552
Shatayla Casonda Watkins, QMHS
Practice location
- Address
- 246 Northland Dr STE 200a, Medina, OH 44256-3440
- Phone
- (330) 725-9195
- Fax
- (330) 725-9187
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1093224552
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Sep 2017
- Record last updated
- 21 Jul 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.