Individual
SHAUNDEL SHY'ANNE GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 355-0993
Mailing address
2548 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 355-0993
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OK
171400000X
Health & Wellness Coach
Primary
—
OK
Other
Enumeration date
09/23/2025
Last updated
03/05/2026
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