Individual
KATIANA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29101 N STATE ROAD 19, ATLANTA, IN 46031-9443
(317) 973-0196
Mailing address
11979 FISHERS CROSSING DR, FISHERS, IN 46038-2778
(765) 400-4021
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
05/14/2026
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