SHANNON NICOLE STANFORD

ENCINO, CA
NPI1023573938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: CA  1-18-34024)
Enumeration Date2019-02-05
Last Update Date2019-02-05
Business Address
Dr. SHANNON NICOLE STANFORD BCBA
5435 BALBOA BLVD STE 202
ENCINO, CA 91316-1570
Phone number: 818-987-8104
Mailing Address
Dr. SHANNON NICOLE STANFORD BCBA
6601 LOUISE AVE
LAKE BALBOA, CA 91406-5435
Phone number: 818-795-5206