Shasta Ingram

Behavior Technician · Delta, CO

Individual Active NPI

NPI number 1801305453

Practice location

115 Grand Ave Ste 2
Delta, CO 81416-2000
Phone
(970) 874-0464
Fax
(970) 874-0464

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NPI record

NPI
1801305453
Entity type
Individual (Type 1)
Enumeration date
September 27, 2017
Last updated
July 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Shasta Ingram

Shasta Ingram is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 115 Grand Ave Ste 2, Delta, CO 81416-2000. The NPI number 1801305453 was assigned on September 27, 2017 and the record was last updated on July 21, 2022.

Frequently asked questions

What is the NPI number of Shasta Ingram?

The NPI number is 1801305453.

What is the phone number of Shasta Ingram?

The phone number listed for the practice location is (970) 874-0464.

Where is Shasta Ingram located?

115 Grand Ave Ste 2, Delta, CO 81416-2000.

What is the taxonomy code for Shasta Ingram?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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