PHANTASHIA SHINE
NPI 1780444570
Behavior Technician in Lithonia, GA
About Phantashia Shine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHANTASHIA SHINE (NPI 1780444570) is an individual behavior technician in Lithonia, Georgia and active in the NPI registry since March 2024.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Phantashia Shine's NPI number?
The NPI number for Phantashia Shine is 1780444570. It was assigned to this individual provider in the NPPES registry on March 20, 2024.
Where is Phantashia Shine located?
Phantashia Shine practices at 6647 Chircahua Dr, Lithonia, GA 30038. The listed phone number is (770) 771-8741.
What is Phantashia Shine's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Phantashia Shine was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.