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1639538341
SHANNON DAWN KLASKA
DECATUR, IL
NPI
1639538341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IL 1-16-22439)
Enumeration Date
2016-02-23
Last Update Date
2018-04-10
Business Address
SHANNON DAWN KLASKA BCABA
5310 E WILLIAM STREET RD
DECATUR, IL 62521-1874
Phone number: 217-422-6361
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Mailing Address
SHANNON DAWN KLASKA BCABA
24 FOREST KNOLLS EST 24 SYCAMORE DRIVE
DECATUR, IL 62521-4422
Phone number: 217-422-6361
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