Individual
MS. SHAKEESHA K WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 CULLY RD, CORDOVA, TN 38018-8502
(901) 624-2454
(901) 624-2928
Mailing address
2831 MORNING GLOW DR, 103, CORDOVA, TN 38016-2487
(901) 870-4027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
TN
Enumeration date
05/14/2013
Last updated
05/14/2013
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