Individual
SHANNON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 W M CT, LINCOLN, NE 68522-1006
(402) 325-8555
Mailing address
312 S 24TH ST, BEATRICE, NE 68310-4306
(402) 890-0599
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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