Gina Shannon

NPI #1013614312 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1013614312
Entity Type: Individual
Name: Gina Shannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 8, 2023
Last Updated: Apr 11, 2023

Practice Location

Address: 24 SW 89TH ST
City: Oklahoma City
State: Oklahoma
ZIP Code: 73139-8510
Phone: (405) 838-1038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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