SHANE LISSY

SALEM, OR
NPI1245887553
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-08-21
Last Update Date2019-08-21
Business Address
SHANE LISSY
3494 LIBERTY RD S
SALEM, OR 97302-4607
Phone number: 971-304-0660
Mailing Address
SHANE LISSY
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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