Individual
KA'MYAH SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5776 STONERIDGE MALL RD, PLEASANTON, CA 94588-2832
(925) 223-8047
Mailing address
1333 WILLOW PASS RD STE 200, CONCORD, CA 94520-7923
(925) 825-1793
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
12/04/2020
Last updated
09/19/2025
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