Individual
SHANE ALAN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9234 KINGSTON PIKE # 474, KNOXVILLE, TN 37922-2380
(650) 437-3796
(650) 437-3796
Mailing address
9234 KINGSTON PIKE # 474, KNOXVILLE, TN 37922-2380
(650) 437-3796
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2146
TN
106S00000X
Behavior Technician
Primary
22206081
FL
Other
Enumeration date
05/05/2022
Last updated
05/22/2026
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