Most Relevant Information
Provider Data
| NPI Number: | 1003473141 |
| Provider Name: | SHAYNE ANDRADA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 33892650 |
Most Important Dates
| Enumeration Date: | 05/23/2019 |
| Last Updated: | 05/23/2019 |
Provider Practice Location
11306 SIR WINSTON ST BLDG F
SAN ANTONIO
TX
782162467
Practice Location Phone/Fax
| Phone: | 2103660049 |
| Fax: |
Provider Mailing Location
21600 OXNARD ST STE 1800
WOODLAND HILLS
CA
913677807
Provider Mailing Phone/Fax
| Phone: | 8183452345 |
| Fax: |