Individual
SHAWN ABIGAIL MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2375 E CAMELBACK RD STE 600, PHOENIX, AZ 85016-3493
(602) 584-9860
(602) 715-1135
Mailing address
2440 E VISTA DR, PHOENIX, AZ 85032-4923
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH000865
AZ
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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