Individual
TANNER REED SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 WAYNE ST, KENNETT, MO 63857-1772
(573) 559-5069
Mailing address
704 WAYNE ST, KENNETT, MO 63857-1772
(573) 559-5069
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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