Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANEQWA GIPSON
ActiveSHANEQWA GIPSON is a Behavioral Health Technician healthcare provider located in CORNELIA, Georgia. NPI 1184207433 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health Technician · CORNELIA, GA
Registration Details
- NPI Number
- 1184207433
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2021 (5.3080444524981 yrs)
- Last Updated
- May 4, 2021
Practice Information
- Address
-
242 TUTT RDCORNELIA, GA, 305313137Browse GA providers · Browse ZIP 30531
- Phone
- 4702467654
- Primary Specialty
-
Behavioral Health Technician
374700000X
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.