Individual
SHANNON BEHAVIOR DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
644 TALLULAH TRL, WARNER ROBINS, GA 31088-7625
(478) 225-2179
Mailing address
107 INDEPENDENCE DR STE D, WARNER ROBINS, GA 31088-7814
(478) 225-2179
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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