Individual
SHANIECE NUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W JUBAL EARLY DR STE 200, WINCHESTER, VA 22601-6508
(540) 431-5641
Mailing address
96 PICTURE MOUNTAIN DR APT 1, MARTINSBURG, WV 25404-0687
(304) 886-7999
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001297
VA
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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