Shanthel Holliday
Behavior Technician
5501 Antique Rose Way
Riverbank
, California 95367-9505
Shanthel Holliday
Behavior Technician
5501 Antique Rose Way
Riverbank
, California 95367-9505
(866) 523-4268
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Shanthel Holliday
- Po Box 399318
- San Francisco, CA
- Zip : 94139-9318
- Phone : (866) 523-4268
Second Address
- Shanthel Holliday
- 5501 Antique Rose Way
- Riverbank, CA
- Zip : 95367-9505
- Phone : (866) 523-4268
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003406893 |
|---|---|
| Provider Name | Shanthel Holliday |
| First Address | San Francisco, CA 94139-9318 |
| Second Address | Riverbank, CA 95367-9505 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2021 |
| Last Update Date | 25/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.