Individual
ALISHA N SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
Mailing address
1994 MADISON RD, CINCINNATI, OH 45208-3217
(513) 375-0656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1901967-TRNE
OH
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2846559
—
OH
Enumeration date
03/22/2018
Last updated
02/14/2020
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