Russell, Shonetta

Russell, Shonetta is an sole proprietor health care provider with primary practice located at 4016 Raintree Rd Ste 200A , Chesapeake VA 23321-3757. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Russell, Shonetta can be contacted via phone (757) 465-3933.

Contact Information

Primary practice address
4016 Raintree Rd Ste 200A Chesapeake VA 23321-3757
Phone: (757) 465-3933
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1437665254
LBN Legal business name Russell, Shonetta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2017
Last updated Dec 15th, 2017 - about 9 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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