Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHAWNA DEE THEODOROU
ActiveSHAWNA DEE THEODOROU is a Behavior Technician healthcare provider located in LUCERNE, California. NPI 1619527512 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · LUCERNE, CA
Registration Details
- NPI Number
- 1619527512
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2019 (6.9050419069713 yrs)
- Last Updated
- Sep 18, 2019
Practice Information
- Address
-
6302 THIRTEETH AVELUCERNE, CA, 95458Browse CA providers · Browse ZIP 95458
- Phone
- 7072749101
- Fax
- 7072749192
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Behavior Technician
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.