Samantha J Shackelford
Samantha J Shackelford is a Behavior Technician in Sacramento, California. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1050 Fulton Ave Ste 230Sacramento, CA 95825-4299
Phone: (916) 974-2599
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1447719893 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 15, 2019 |
| Last updated in NPPES | April 27, 2021 |
| Certification date | April 27, 2021 |
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