Shannon Derr

NPI #1114484730 in Media, Pennsylvania

Provider Information

NPI Number: 1114484730
Entity Type: Individual
Name: Shannon Derr
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 1, 2019
Last Updated: Mar 1, 2019

Practice Location

Address: 600 N JACKSON ST STE 203
City: Media
State: Pennsylvania
ZIP Code: 19063-2574
Phone: (484) 444-2285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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