Daebreon Shanks

NPI #1184306961 in Corinth, Mississippi

Provider Information

NPI Number: 1184306961
Entity Type: Individual
Name: Daebreon Shanks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 2, 2023
Last Updated: Aug 2, 2023

Practice Location

Address: 1914 PARK DR
City: Corinth
State: Mississippi
ZIP Code: 38834-3015
Phone: (662) 288-1330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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