| NPI | 1134652845 |
|---|---|
| Former Name | SHANTE ASHLEY DOUGLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-06-28 |