Provider Demographics
NPI:1225651094
Name:PALDI, SHANNA CHRISTINE
Entity Type:Individual
Prefix:
First Name:SHANNA
Middle Name:CHRISTINE
Last Name:PALDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 E QUARTZ AVE # 7012
Mailing Address - Street 2:
Mailing Address - City:SANDY VALLEY
Mailing Address - State:NV
Mailing Address - Zip Code:89019-8501
Mailing Address - Country:US
Mailing Address - Phone:702-723-5388
Mailing Address - Fax:702-723-5389
Practice Address - Street 1:777 E QUARTZ AVE UNIT B
Practice Address - Street 2:
Practice Address - City:SANDY VALLEY
Practice Address - State:NV
Practice Address - Zip Code:89019-8501
Practice Address - Country:US
Practice Address - Phone:702-723-5388
Practice Address - Fax:702-723-3589
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician