Shannon Watson

NPI #1013481654 in Frankfort, Illinois

Provider Information

NPI Number: 1013481654
Entity Type: Individual
Name: Shannon Watson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 16, 2019
Last Updated: Jan 16, 2019

Practice Location

Address: 21000 S FRANKFORT SQUARE RD
City: Frankfort
State: Illinois
ZIP Code: 60423-9385
Phone: (815) 469-1500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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