Individual
SHANNON KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 COOPER POINT RD SW, OLYMPIA, WA 98502-1178
(360) 810-2276
(360) 972-2538
Mailing address
1800 COOPER POINT RD SW, OLYMPIA, WA 98502-1178
(360) 810-2276
(360) 972-2538
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/19/2013
Last updated
04/04/2016
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