Individual
SHANNON SIKORSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 S 38TH ST, TACOMA, WA 98418-7807
(206) 948-6666
Mailing address
10028A MERIWETHER TRL, TACOMA, WA 98433-1239
(808) 271-2220
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60667591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111524501
—
WA
Enumeration date
12/12/2017
Last updated
12/12/2017
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