Provider Demographics
NPI:1184518771
Name:SHELLMIRE, ARIHANNA DIAMOND
Entity type:Individual
Prefix:
First Name:ARIHANNA
Middle Name:DIAMOND
Last Name:SHELLMIRE
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:PO BOX 6891
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93539-6891
Mailing Address - Country:US
Mailing Address - Phone:661-227-9793
Mailing Address - Fax:
Practice Address - Street 1:8897 HOUSTON RIDGE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-7227
Practice Address - Country:US
Practice Address - Phone:702-209-0289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-06
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician