Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TS0200X | School Psychologist | ||
Y | 106S00000X | Behavior Technician |
NPI | 1083161541 |
---|---|
Provider Name | Sha'nai Hairston |
First Address | Washington, DC 20018-2615 |
Second Address | Lanham, MD 20706-4446 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2016 |
Last Update Date | 23/07/2021 |