Shea Mahan, B.S.
NPI #1770008500 in Portales, New Mexico
Provider Information
- NPI Number
- 1770008500
- Entity Type
- Individual
- Name
- Shea Mahan, B.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Credential
- B.S.
- Enumeration Date
- Aug 14, 2017
- Last Updated
- May 17, 2018
Practice Location
- Address
- 1500 S AVENUE K
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130
- Phone
- (575) 562-2156
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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