Individual
AVIANNA SHULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
15-7197-08392
Contact information
Practice address
5190 BAYOU BLVD, BLDG. 2, PENSACOLA, FL 32503-2194
(850) 416-4681
(850) 416-7776
Mailing address
5190 BAYOU BLVD, BLDG. 2, PENSACOLA, FL 32503-2194
(850) 416-4681
(850) 416-7776
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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