Organization
SHANNON PAULA WELLNESS
Active
Other names
Playlates, SHannon Paula WELLness
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON WILLIAMS (OWNER)
(917) 971-0000
Entity
Organization
Contact information
Practice address
28 RIVERSIDE AVE APT 9C, RED BANK, NJ 07701-1054
(917) 971-0000
Mailing address
28 RIVERSIDE AVE APT 9C, RED BANK, NJ 07701-1054
(917) 971-0000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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