Tatiana Sheppard
Behavior Technician in Dolton, IL. Individual provider (NPI-1).
NPI number1699366203
StatusActive
Last updated in NPPESJan 27, 2021
Details
- NPI
- 1699366203
- Entity type
- Individual (NPI-1)
- Name
- Tatiana Sheppard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2021
- Certification date
- Jan 27, 2021
- Last updated
- Jan 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 222Q00000X | Developmental Therapist | – | – |
Practice location
14840 Shepard DrDolton, IL 60419-2467
Phone 773-449-0859
Mailing address
14840 Shepard DrDolton, IL 60419-2467
Phone 773-449-0859
Other practice locations
1835 Dixie Hwy Ste 102b
Flossmoor, IL 60422-1989
Flossmoor, IL 60422-1989
Phone 708-365-3209
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Other Behavior Technician providers in Dolton, IL
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- Tinesha Denise JohnsonNPI 1467085753
- Quintia McClainNPI 1578361861
- Tiffany MosesNPI 1962089680
- Renosha MullinsNPI 1467262741
- Leonard PollardNPI 1548881790
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All 16 Behavior Technician providers in Dolton · All 211 providers in Dolton
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