NPI 1114416047

Shantel Crownover, MS

Practitioner Behavior Analyst Green Bay, WI

Practice location

Address: 1575 Allouez Ave, Green Bay, WI 54311-5639
Phone: (920) 857-9041

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 227 (WI)

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Registry record

NPI: 1114416047
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2018
Record last updated: 7 May 2018

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.