Individual
SHANNON GRIFFIN HORNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1010 WINCHESTER AVE, MARTINSBURG, WV 25401-1683
(304) 290-4262
(304) 212-0627
Mailing address
PO BOX 180, SHENANDOAH JUNCTION, WV 25442-0180
(301) 704-3853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
11/16/2022
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