Individual
LAUREN CAROLYN SHACKLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N EL DORADO PL STE G700, TUCSON, AZ 85715-4637
(520) 526-0050
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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