Individual
SHANNON SELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 ROAD 3100, AZTEC, NM 87410-9529
(808) 896-2666
Mailing address
1408 8TH ST, ALAMOGORDO, NM 88310-5115
(866) 273-2451
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
07/15/2025
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