Individual
MRS. SHAWANNA M SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9368 THUNDER BASIN AVE, LAS VEGAS, NV 89149-0127
(702) 596-1012
Mailing address
9368 THUNDER BASIN AVE, LAS VEGAS, NV 89149-0127
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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