Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shakira Lataivia Vance

Individual provider Behavior Technician · NPI 1801635453

Shakira Lataivia Vance is a Behavior Technician in Douglasville, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

121 Bridgestone Ln
Douglasville, GA 30134-6070
Phone: (470) 659-0992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1801635453
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

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