Individual
SHANICE P CLAYBROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,BCBA,LBA
Contact information
Practice address
5084 OLD SUMMER RD, MEMPHIS, TN 38122-4403
(901) 283-3486
Mailing address
1751 BELLEVUE GROVE CV, CORDOVA, TN 38016-4801
(901) 283-3486
(901) 284-0998
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43462
TN
Other
Enumeration date
03/06/2019
Last updated
04/14/2023
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