Individual
JEREMY SCOTT SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 HOWARD ST., HAVERHILL, MA 01830
(978) 521-7777
Mailing address
278 ACROPOLIS RD, LOWELL, MA 01854
(978) 458-0354
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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