Individual
SHADELL MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-4205
(321) 732-3723
(321) 352-7168
Mailing address
6000 TURKEY LAKE RD STE 114, ORLANDO, FL 32819-4205
(321) 732-3723
(321) 352-7168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
21-187659
FL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
10/14/2021
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