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1861220998
SHANE SHANANAQUET
ANN ARBOR, MI
NPI
1861220998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-07-22
Last Update Date
2024-07-22
Business Address
SHANE SHANANAQUET
950 VICTORS WAY STE 30
ANN ARBOR, MI 48108-5217
Phone number: 866-727-8274
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Mailing Address
SHANE SHANANAQUET
2550 N HOLLYWOOD WAY STE 301
BURBANK, CA 91505-5025
Phone number: 866-727-8274
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