Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANAIL ANNETTE MANGRUM, 12/18/2015
Active Sole ProprietorSHANAIL ANNETTE MANGRUM, 12/18/2015 is a Behavior Technician healthcare provider located in CLARKSVILLE, Tennessee. NPI 1154852168 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · CLARKSVILLE, TN
Registration Details
- NPI Number
- 1154852168
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2017 (9.6022153126495 yrs)
- Last Updated
- Mar 22, 2017
- License
-
RBT-15-10015 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1250 PARKWAY PL APT FCLARKSVILLE, TN, 370428479Browse TN providers · Browse ZIP 37042
- Phone
- 9073470286
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in CLARKSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| EBONY AYANA UNDERWOOD | — | 1255748364 |
| LILIAN BARRIENTOS - POWELL | — | 1376924688 |
| SUSAN RITTENBERRY | — | 1912438383 |
| MEGAN FELLER | — | 1700312287 |
| AMBER HOPE O'CONNER | — | 1689101545 |
| KELLY OSMON | RBT | 1336677384 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.