Individual
MS. SHANNON S REAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
487B SKIPPERVILLE RD, OZARK, AL 36360-7103
(334) 672-0598
Mailing address
487B SKIPPERVILLE RD, OZARK, AL 36360-7103
(334) 672-0598
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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