Most Relevant Information
Provider Data
| NPI Number: | 1003646092 |
| Provider Name: | SHANIA HOOVER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/05/2024 |
| Last Updated: | 08/05/2024 |
Provider Practice Location
600 E MICHIGAN AVE
PAW PAW
MI
490791354
Practice Location Phone/Fax
| Phone: | 9897022082 |
| Fax: |
Provider Mailing Location
600 E MICHIGAN AVE
PAW PAW
MI
490791354
Provider Mailing Phone/Fax
| Phone: | 9897022082 |
| Fax: |