Shardane Hanks
Behavior Technician in South Bend, IN. Individual provider (NPI-1).
NPI number1902609282
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1902609282
- Entity type
- Individual (NPI-1)
- Name
- Shardane Hanks
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2025
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | IN | Yes |
Practice location
2505 E Jefferson BlvdSouth Bend, IN 46615-2635
Phone 574-289-4831
Mailing address
2505 E Jefferson BlvdSouth Bend, IN 46615-2635
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