Individual
SHANNON NEEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 PUEBLO TRL, ALAMOGORDO, NM 88310-9757
(575) 749-8236
Mailing address
3 PUEBLO TRL, ALAMOGORDO, NM 88310-9757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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