Provider Demographics
NPI:1144047242
Name:SHAHAN, ERIN (RBT)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:SHAHAN
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 KELLOGG AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616-1248
Mailing Address - Country:US
Mailing Address - Phone:641-420-9431
Mailing Address - Fax:
Practice Address - Street 1:606 KELLOGG AVE
Practice Address - Street 2:
Practice Address - City:CHARLES CITY
Practice Address - State:IA
Practice Address - Zip Code:50616-1248
Practice Address - Country:US
Practice Address - Phone:641-420-9431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-21
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician