Individual
MS. CHANTAL DANIELLE SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1948 COUNTY ROAD 141, ARITON, AL 36311-8663
(334) 367-9578
(334) 397-0058
Mailing address
1948 COUNTY ROAD 141, ARITON, AL 36311-8663
(334) 367-9578
(334) 397-0058
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-133420
AL
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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