NPI 1164248167

Shontressa Denise Ginwright Randle

Practitioner Behavior Analyst Florence, AL

Practice location

Address: 204 W Tuscaloosa St, Florence, AL 35630-5428
Phone: (256) 202-4885
Fax: (833) 442-3336
Mailing address: 850 N Royal Ave, Florence, AL 35630-3559

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-10-7821

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Registry record

NPI: 1164248167
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2024
Record last updated: 25 Nov 2024

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.