| NPI | 1427478346 |
|---|---|
| Former Name | SHANNON SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001279) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-13-14477) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2021-06-22 |