Individual
LATASHA G SHINAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14301 FNB PKWY STE 100, OMAHA, NE 68154-7200
(402) 807-7447
Mailing address
7244 LYDIA AVE, KANSAS CITY, MO 64131-1810
(816) 645-9410
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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