Organization
SHAPING POSITIVE BEHAVIORS, LLC.
Active
Other names
Stacia Evans
Organization subpart
No
Provider details
NPI number
Authorized official
STACIA LATORRIA EVANS (BCBA/OWNER)
(901) 503-6170
Entity
Organization
Contact information
Practice address
5175 ELMORE RD STE 1, MEMPHIS, TN 38134-5629
(901) 503-6170
Mailing address
5175 ELMORE RD STE 1, MEMPHIS, TN 38134-5629
(901) 503-6170
(901) 284-0408
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
340
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q035253
—
TN
Enumeration date
04/17/2018
Last updated
03/08/2022
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