Individual
SHANNON MARIE PERREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5306 LEE HWY, WARRENTON, VA 20187-9377
(540) 212-8106
Mailing address
6129 SOUTHERN COMFORT DR, MIDLAND, VA 22728-1757
(540) 212-8106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133002528
VA
Other
Enumeration date
05/24/2022
Last updated
06/07/2022
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