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1720647837
SHANNON BELLANCA
SAN DIEGO, CA
NPI
1720647837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106E00000X Assistant Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-06-12
Last Update Date
2021-06-18
Business Address
SHANNON BELLANCA BCaBA
2701 MIDWAY DR UNIT 371141
SAN DIEGO, CA 92137-6110
Phone number: 724-974-9932
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Mailing Address
SHANNON BELLANCA BCaBA
851 BOWSPRIT RD
CHULA VISTA, CA 91914-4529
Phone number: 213-915-8277
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