IndividualActive
Shanail Mangrum, 12/18/2015
NPI 1154852168 · Behavior Technician · Clarksville, TN
Provider details
- NPI number
- 1154852168
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- 12/18/2015
- Sex
- Female
- Sole proprietor
- Yes
- License
- RBT-15-10015 (TN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1250 Parkway Pl Apt F
Clarksville, TN 37042-8479
Phone: (907) 347-0286
Street-level locationGet directions
Mailing address
1250 Parkway Pl Apt F
Clarksville, TN 37042-8479
Registry dates
- Enumerated
- 2017-03-22
- Last updated
- 2017-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.