Shatava Fennell
Shatava Fennell is a Behavior Technician in Marietta, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
137 Johnson Ferry Rd Ste 2170Marietta, GA 30068-4948
Phone: (470) 648-0510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1427648559 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 22, 2021 |
| Last updated in NPPES | January 22, 2021 |
| Certification date | January 22, 2021 |
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