Healthcare Provider Details

I. General information

NPI: 1952075673
Provider Name (Legal Business Name): SHANEEN GARTH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2021
Last Update Date: 08/05/2021
Certification Date: 08/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 S WESTERN AVE APT 110
LOS ANGELES CA
90006-3171
US

IV. Provider business mailing address

1250 S WESTERN AVE APT 110
LOS ANGELES CA
90006-3171
US

V. Phone/Fax

Practice location:
  • Phone: 424-288-1904
  • Fax:
Mailing address:
  • Phone: 424-288-1904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: