Shanna Dawn Fitzgerald
Behavior Technician in Georgetown, TX. Individual provider (NPI-1).
NPI number1194459503
StatusActive
Last updated in NPPESJul 12, 2022
Details
- NPI
- 1194459503
- Entity type
- Individual (NPI-1)
- Name
- Shanna Dawn Fitzgerald
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2022
- Certification date
- Jul 12, 2022
- Last updated
- Jul 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Other names
- Shannon Dawn Shaw (Former Name)
Practice location
4861 Williams Dr Ste 101Georgetown, TX 78633-2006
Phone 737-295-4536
Mailing address
5850 Granite Pkwy Ste 600Plano, TX 75024-6753
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All 112 Behavior Technician providers in Georgetown · All 2,238 providers in Georgetown
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