Ella Dawn Marie Shields
Behavior Technician in Orlando, FL. Individual provider (NPI-1).
NPI number1932888674
StatusActive
Last updated in NPPESJul 11, 2023
Details
- NPI
- 1932888674
- Entity type
- Individual (NPI-1)
- Name
- Ella Dawn Marie Shields
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2023
- Certification date
- Jul 11, 2023
- Last updated
- Jul 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | FL | Yes |
Practice location
730 Sand Lake Rd Ste 176Orlando, FL 32809-7747
Phone 407-412-6114
Mailing address
319 Bent Way LnLake Mary, FL 32746-4838
Phone 407-457-2843
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