Individual
MRS. SHANNEN ITTERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BTT
Contact information
Practice address
5301 TIETON DR, SUITE C, C/O HOPE CENTER, YAKIMA, WA 98908-3479
(509) 965-7100
(509) 966-9750
Mailing address
5301 TIETON DR, SUITE C, YAKIMA, WA 98908-3479
(509) 965-7100
(509) 966-9750
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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