SHASTA LYNN EDMONDS

MT JULIET, TN
NPI1013622000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-01-16
Last Update Date2023-01-16
Business Address
Ms. SHASTA LYNN EDMONDS
401 S MOUNT JULIET RD STE 235-118
MT JULIET, TN 37122-6359
Phone number: 703-506-0123
Mailing Address
Ms. SHASTA LYNN EDMONDS
938 TINY TOWN RD
CLARKSVILLE, TN 37042-4602
Phone number: