Individual
MRS. SHILOH DE'SIRE'E BEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
204 OAKMONT CV, BELLS, TN 38006-3664
(731) 446-5441
(731) 784-2664
Mailing address
204 OAKMONT CV, BELLS, TN 38006-3664
(731) 446-5441
(731) 784-2664
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
197
TN
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-03-1102
BEHAVIOR ANALYST CERTIFICATION BOARD
—
05
—
1504061
—
TN
Enumeration date
08/27/2008
Last updated
10/27/2022
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