SHANNON DAWN KLASKA

DECATUR, IL
NPI1639538341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IL  1-16-22439)
Enumeration Date2016-02-23
Last Update Date2018-04-10
Business Address
SHANNON DAWN KLASKA BCABA
5310 E WILLIAM STREET RD
DECATUR, IL 62521-1874
Phone number: 217-422-6361
Mailing Address
SHANNON DAWN KLASKA BCABA
24 FOREST KNOLLS EST 24 SYCAMORE DRIVE
DECATUR, IL 62521-4422
Phone number: 217-422-6361