Individual
SHANLEYE RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5055 E BROADWAY BLVD, TUCSON, AZ 85711-3640
(602) 888-8882
(855) 859-1671
Mailing address
5055 E BROADWAY BLVD, TUCSON, AZ 85711-3640
(602) 888-8882
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43674
GA
106E00000X
Assistant Behavior Analyst
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Other
Enumeration date
03/09/2018
Last updated
05/31/2024
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