Individual
KAYLA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
935 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3101
(757) 428-3367
(757) 428-1630
Mailing address
935 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454-3101
(757) 428-3367
(757) 428-1630
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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