Shannon L. Carter

NPI #1821601873 in Crestview, Florida

Provider Information

NPI Number: 1821601873
Entity Type: Individual
Name: Shannon L. Carter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 28, 2020
Last Updated: Jun 20, 2025

Practice Location

Address: 4100 S FERDON BLVD
City: Crestview
State: Florida
ZIP Code: 32536-5252
Phone: (850) 362-6824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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