Individual
SHANNON MARIE POCIASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PBS FACILITATOR
Contact information
Practice address
3225 MADDEN TER, PORTSMOUTH, VA 23703-4228
(757) 567-4553
Mailing address
3225 MADDEN TER, PORTSMOUTH, VA 23703-4228
(757) 567-4553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
151
VA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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