Walters, Shane G
Walters, Shane G is an individual health care provider with primary practice located at 71 Raymond Rd , West Hartford CT 06107-2211. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Walters, Shane G can be contacted via phone (239) 986-9398.Contact Information
Primary practice address
71 Raymond Rd
West Hartford CT 06107-2211
Phone: (239) 986-9398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1114432697 |
|---|---|
| LBN Legal business name | Walters, Shane G |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2017 |
| Last updated | Aug 22nd, 2023 - about 2 years ago |
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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