Individual
SHANNON KRISTINE AGUAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 E PHOENIX AVE, GRAND ISLAND, NE 68801-8152
(308) 227-2464
Mailing address
822 E PHOENIX AVE, GRAND ISLAND, NE 68801-8152
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NE
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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