Individual
SHINYA DAVONIA SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4723 THOROUGHBRED DR, NORTH CHARLESTON, SC 29420-7585
(803) 662-7974
Mailing address
4723 THOROUGHBRED DR, NORTH CHARLESTON, SC 29420-7585
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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