Individual
JESSICA SHANKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10927 ARGUELLO TRL NE UNIT C, ALBUQUERQUE, NM 87123-2787
(505) 307-6315
Mailing address
10927 ARGUELLO TRL NE UNIT C, ALBUQUERQUE, NM 87123-2787
(505) 307-6315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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