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Individual

MR. IAN SEAN SHAMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
631 PINETOP LAKE ST, HENDERSON, NV 89002-0922
(630) 917-4426
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
Primary
NV

Other

Enumeration date
04/26/2022
Last updated
04/26/2022
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