Individual
SHANNON CLAVERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73 PUUHONU PL STE 100, HILO, HI 96720-2060
(808) 969-9622
Mailing address
PO BOX 11268, HILO, HI 96721-6268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-149294
HI
Other
Enumeration date
09/01/2020
Last updated
06/26/2025
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