Individual
SHANAN FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1242 FOURIER DR, MADISON, WI 53717-1968
(608) 662-9327
(608) 662-9041
Mailing address
1600 W 41ST ST STE 500, BALTIMORE, MD 21211-1504
(410) 369-0000
(410) 484-3129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1572
WI
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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