Individual
MRS. SHANNON NICOLE ARENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
4724 SW MACADAMS AVE, PORTLAND, OR 97239
(503) 235-3122
Mailing address
12240 SW DOUGLAS ST, PORTLAND, OR 97225-4529
(714) 398-3652
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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