Individual
CONNOR BRYANT SHOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6121
(928) 527-1899
Mailing address
3137 N KYLE LOOP, FLAGSTAFF, AZ 86004-1837
(520) 686-1811
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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