Shannon Lorena Manley

NPI #1548013501 in Irving, Texas

Provider Information

NPI Number: 1548013501
Entity Type: Individual
Name: Shannon Lorena Manley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 9, 2024
Last Updated: Apr 9, 2024

Practice Location

Address: 400 E ROYAL LN STE 290
City: Irving
State: Texas
ZIP Code: 75039-3602
Phone: (512) 826-6874

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X	Primary

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