SHANNON ELAINE COSTA

ELK GROVE, CA
NPI1225642697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2020-09-03
Last Update Date2020-09-03
Business Address
SHANNON ELAINE COSTA
2230 LONGPORT CT STE 130
ELK GROVE, CA 95758-7182
Phone number: 925-813-5817
Mailing Address
SHANNON ELAINE COSTA
3425 COFFEE RD STE 32
MODESTO, CA 95355-1582
Phone number:
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