Shawna Dee Theodorou

NPI #1619527512 in Lucerne, California

Provider Information

NPI Number: 1619527512
Entity Type: Individual
Name: Shawna Dee Theodorou
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 13, 2019
Last Updated: Sep 18, 2019

Practice Location

Address: 6302 THIRTEETH AVE
City: Lucerne
State: California
ZIP Code: 95458
Phone: (707) 274-9101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Behavior Technician	106S00000X	Primary

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