Individual
SHANNON FAUSNEAUCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 E CHASE AVE STE 204, EL CAJON, CA 92020-6300
(619) 647-6147
Mailing address
260 E CHASE AVE STE 204, EL CAJON, CA 92020-6300
(619) 647-6157
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
12/17/2019
Last updated
06/22/2022
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