Individual
JESSICA JEAN SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5906 S 169TH STREET, OMAHA, NE 68135-2813
(402) 812-5975
(402) 891-8860
Mailing address
5906 S 169TH STREET, OMAHA, NE 68135-2813
(402) 812-5975
(402) 891-8860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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