Individual
SHANNON WANAMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1479 LOUISA ST, WILLIAMSPORT, PA 17701-1633
(717) 804-4878
(888) 830-8571
Mailing address
1479 LOUISA ST, WILLIAMSPORT, PA 17701-1633
(717) 804-4878
(888) 830-8571
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
340850
PA
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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