MRS. Shannon White

NPI #1992362479 in Winnemucca, Nevada

Provider Information

NPI Number: 1992362479
Entity Type: Individual
Name: MRS. Shannon White
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 21, 2019
Last Updated: May 21, 2019

Practice Location

Address: 2987 FRONTIER ST
City: Winnemucca
State: Nevada
ZIP Code: 89445-6168
Phone: (775) 772-8973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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