Shannon Selman

NPI #1144930546 in Aztec, New Mexico

Provider Information

NPI Number: 1144930546
Entity Type: Individual
Name: Shannon Selman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 28, 2022
Last Updated: Jul 15, 2025

Practice Location

Address: 75 ROAD 3100
City: Aztec
State: New Mexico
ZIP Code: 87410-9529
Phone: (808) 896-2666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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