Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shanail Annette Mangrum, 12/18/2015

Individual provider Behavior Technician · NPI 1154852168

Shanail Annette Mangrum, 12/18/2015 is a Behavior Technician in Clarksville, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017
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Practice location Address checks out

1250 Parkway Pl Apt F
Clarksville, TN 37042-8479
Phone: (907) 347-0286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-15-10015 (TN)

Record details

NPI number1154852168
Entity typeIndividual (Type 1)
GenderFemale
Credentials 12/18/2015
Sole proprietorYes
NPI enumeratedMarch 22, 2017
Last updated in NPPESMarch 22, 2017

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