Individual
SHATOYA SKATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
289 LAKEVIEW DR APT 105, MADISON HEIGHTS, VA 24572-5311
(434) 661-7307
Mailing address
289 LAKEVIEW DR APT 105, MADISON HEIGHTS, VA 24572-5311
(434) 661-7307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
VA
Other
Enumeration date
07/30/2018
Last updated
04/27/2026
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