Individual
SHANNON EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
1722 NW ABBEY CT, WALDPORT, OR 97394-9429
(805) 628-6058
Mailing address
1722 NW ABBEY CT, WALDPORT, OR 97394-9429
(805) 628-6058
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64031
CA
Other
Enumeration date
02/13/2023
Last updated
10/27/2025
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