| NPI | 1376127985 |
|---|---|
| Former Name | SHANNON MARIE WILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 849) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-21-48487) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2025-03-03 |