Shalese White Valid NPI
Individual provider · Behavior Technician · Tavares, FL
- NPI
- 1720861941
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- License number
- RBT-23-274765 (FL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2023-08-14
- Last updated
- 2023-08-14
Practice location
4639 Treasure Cay Rd Fl 32778
Tavares, FL 32778-4779
(352) 617-4113