Individual
DANIEL LEE SHAFTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA BCBA
Contact information
Practice address
1336 E MADISON ST, SOUTH BEND, IN 46617-2431
(219) 575-0935
(574) 287-1898
Mailing address
1336 E MADISON ST, SOUTH BEND, IN 46617-2431
(219) 575-0935
(574) 287-1898
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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