Individual
KAITLAN MICHELLE SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
(205) 969-2880
Mailing address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
(205) 969-2880
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-409166
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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