Individual
SHANNA A MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
739 PRESIDENT PL STE 110, SMYRNA, TN 37167-6845
(615) 924-5691
Mailing address
413 ASHTON CIR # 413, SMYRNA, TN 37167-1508
(615) 924-5691
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
316874
TN
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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