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

Wanda M Shafer

Individual provider Behavior Technician · NPI 1053152728

Wanda M Shafer is a Behavior Technician in Englewood, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

2048 Larson St
Englewood, FL 34223-6491
Phone: (941) 999-4917
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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 number1053152728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address2627 Sherman Oak Dr, North Port, FL 34289-2392

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