Individual
SHAUNA MARIE BLADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 DEADERICK ST FL 17, NASHVILLE, TN 37238-3000
(877) 264-6747
Mailing address
295 89TH ST STE 306, DALY CITY, CA 94015-1656
(877) 264-6747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1118
TN
Other
Enumeration date
08/12/2020
Last updated
06/11/2025
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