Individual
SHAUN VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
4520 PULASKI HWY, LAWRENCEBURG, TN 38464-6372
(931) 762-2934
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
67
TN
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/16/2023
Last updated
08/04/2025
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