Shannon Kiess, M.ED., BCBA

NPI #1104333434 in St Lucie West, Florida

Provider Information

NPI Number: 1104333434
Entity Type: Individual
Name: Shannon Kiess, M.ED., BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: M.ED., BCBA
Enumeration Date: Jan 9, 2018
Last Updated: Jan 9, 2018

Practice Location

Address: 2074 SE DOVERBROOK ST
City: St Lucie West
State: Florida
ZIP Code: 34983-4698
Phone: (772) 530-0575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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