Individual
MS. DAISHA RENEA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
1717 S AIR DEPOT BLVD, OKLAHOMA CITY, OK 73110-5103
(855) 782-7822
Mailing address
1717 S AIR DEPOT BLVD, OKLAHOMA CITY, OK 73110-5103
(405) 622-4329
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
RBT-26-539830
OK
Other
Enumeration date
06/11/2013
Last updated
06/09/2026
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