Shannan Wayne

NPI #1619701075 in West Park, Florida

Provider Information

NPI Number: 1619701075
Entity Type: Individual
Name: Shannan Wayne
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 28, 2024
Last Updated: Aug 28, 2024

Practice Location

Address: 3832 SW 33RD CT
City: West Park
State: Florida
ZIP Code: 33023-5631
Phone: (262) 707-3257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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