Shanen Dibbern

NPI #1154029478 in Cypress, California

Provider Information

NPI Number: 1154029478
Entity Type: Individual
Name: Shanen Dibbern
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 16, 2023
Last Updated: Feb 16, 2023

Practice Location

Address: 5252 ORANGE AVE STE 109
City: Cypress
State: California
ZIP Code: 90630-2967
Phone: (562) 313-7641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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