Individual
SHANNON KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
14 S MAIN ST, SUITE 1E, ABERDEEN, SD 57401-4172
(605) 225-1010
(605) 225-1017
Mailing address
14 S MAIN ST, SUITE 1E, ABERDEEN, SD 57401-4172
(605) 225-1010
(605) 225-1017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12730
FL
Other
Enumeration date
06/20/2012
Last updated
02/22/2017
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