| NPI | 1649577883 |
|---|---|
| Former Name | ERICA M SHACKELFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2021-04-30 |