Shannon Novak

NPI #1144796624 in Roselle, Illinois

Provider Information

NPI Number: 1144796624
Entity Type: Individual
Name: Shannon Novak
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 22, 2018
Last Updated: Oct 22, 2018

Practice Location

Address: 1170 DARBY LN
City: Roselle
State: Illinois
ZIP Code: 60172-1754
Phone: (847) 306-9843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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