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Shane Randal Davis
Adult Companion in Pullman, Washington
NPI 1013478759

Shane Randal Davis is an Adult Companion based in Pullman, WA. Shane Randal Davis practices in Pullman, WA. The NPI Number for Shane Randal Davis is 1013478759 and holds a License No. (Washington).

The current practice location address for Shane Randal Davis is 340 Ne Maple St, Pullman, WA and can be reached out via phone at 509-334-1133.

Location: 340 Ne Maple St, Pullman, WA, 99163-4120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013478759
Provider Name
Shane Randal Davis
Credential
Provider Entity Type
Individual
Gender
Male
Address
340 Ne Maple St, Pullman, WA, 99163-4120
Phone Number
509-334-1133
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
340 Ne Maple St
City
Pullman
State
Washington
Zip
99163-4120
Phone Number
509-334-1133
Fax Number
person
Provider Business Mailing Address Details
Address
340 Ne Maple St
City
Pullman
State
Washington
Zip
99163-4120
Phone Number
509-334-1133
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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