Individual
SHANNON MARIE RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 ARAGON DR APT 102, KNIGHTDALE, NC 27545-6019
(848) 003-3599
Mailing address
1710 ARAGON DR APT 102, KNIGHTDALE, NC 27545-6019
(848) 003-3599
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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