SHANE WISENBURG

VIRGINIA BEACH, VA
NPI1417615907
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   BACB734630)
Enumeration Date2021-12-02
Last Update Date2021-12-02
Business Address
SHANE WISENBURG RBT
380 CLEVELAND PL # B
VIRGINIA BEACH, VA 23462-6529
Phone number: 757-416-5290
Mailing Address
SHANE WISENBURG RBT
380 CLEVELAND PL # B
VIRGINIA BEACH, VA 23462-6529
Phone number: