Shannon Masters

NPI #1366275901 in Coal City, Illinois

Provider Information

NPI Number: 1366275901
Entity Type: Individual
Name: Shannon Masters
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 20, 2024
Last Updated: Aug 20, 2024

Practice Location

Address: 585 ELIZABETH DR
City: Coal City
State: Illinois
ZIP Code: 60416-2404
Phone: (612) 619-8463

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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