Individual
REGINA SADE SHIELDS-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8090 WALNUT RUN RD, CORDOVA, TN 38018-6362
(901) 509-8347
Mailing address
922 SPRINGDALE RUN DR, MEMPHIS, TN 38108-3340
(901) 307-1028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT26527269
TN
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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