Individual
MR. SHANE DALE MULLIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12555 NAVAJO RD, APPLE VALLEY, CA 92308-7256
(760) 247-8001
Mailing address
12555 NAVAJO RD, APPLE VALLEY, CA 92308-7256
(760) 247-8001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
04/23/2013
Last updated
01/08/2026
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