Individual
SHANNON HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16560 COMMERCE CT STE A&B, MIDDLEBURG HEIGHTS, OH 44130-6305
(855) 295-3276
Mailing address
PO BOX 767938, ROSWELL, GA 30076-7938
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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