| NPI | 1497260665 |
|---|---|
| Former Name | SHANNON S CHATMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-67173) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-12-09 |
| Last Update Date | 2025-05-12 |