Individual
MS. SHANNON ROSE-MARION TAIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
85 REVERE DR, NORTHBROOK, IL 60062-8001
(844) 247-7222
Mailing address
85 REVERE DR, NORTHBROOK, IL 60062-8001
(844) 247-7222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
04/04/2017
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