Shannon Monique Roberts

NPI #1528623691 in N Las Vegas, Nevada

Provider Information

NPI Number: 1528623691
Entity Type: Individual
Name: Shannon Monique Roberts
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 4, 2019
Last Updated: May 4, 2019

Practice Location

Address: 6148 PASSIONATE CT
City: N Las Vegas
State: Nevada
ZIP Code: 89031-3538
Phone: (702) 465-4001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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