Shawna Packard
Behavior Technician in Manchester, NH. Individual provider (NPI-1).
NPI number1982257127
StatusActive
Last updated in NPPESJul 15, 2020
Details
- NPI
- 1982257127
- Entity type
- Individual (NPI-1)
- Name
- Shawna Packard
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2019
- Certification date
- Jul 15, 2020
- Last updated
- Jul 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1583 Belmont StManchester, NH 03104-2759
Phone 603-860-8809
Mailing address
1583 Belmont StManchester, NH 03104-2759
Phone 603-860-8809
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