Shannon Moguel

NPI #1003648460 in Vancouver, Washington

Provider Information

NPI Number: 1003648460
Entity Type: Individual
Name: Shannon Moguel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 15, 2024
Last Updated: Aug 15, 2024

Practice Location

Address: 16821 SE MCGILLIVRAY BLVD STE 100
City: Vancouver
State: Washington
ZIP Code: 98683-0401
Phone: (360) 818-9593

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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