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SHANAIL ANNETTE MANGRUM 12/18/2015 NPI 1154852168


NPI Information

NPI: 1154852168
Provider Name: SHANAIL ANNETTE MANGRUM, 12/18/2015
Classification: Behavior Technician - 106S00000X
Entity Type: Individual
Address:
1250 PARKWAY PL APT F
CLARKSVILLE, TN
ZIP 37042
Phone: (907) 347-0286
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Shanail Annette Mangrum, 12/18/2015 is a behavior technician in Clarksville, TN. The provider is the behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. Shanail Annette Mangrum, 12/18/2015 NPI is 1154852168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1250 PARKWAY PL APT F
CLARKSVILLE, TN
ZIP 37042-479
Phone: (907) 347-0286

The enumeration date for this NPI number is 3/22/2017 and was last updated on 3/22/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106S00000XBehavior TechnicianRBT-15-10015TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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