Banner, Shadae

Banner, Shadae is an individual health care provider with primary practice located at 413 W Montgomery Cross Rd Ste 600 , Savannah GA 31406-3364. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Banner, Shadae can be contacted via phone (615) 560-6622.

Contact Information

Primary practice address
413 W Montgomery Cross Rd Ste 600 Savannah GA 31406-3364
Phone: (615) 560-6622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1255178935
LBN Legal business name Banner, Shadae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2024
Last updated Jul 10th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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