SHANNON BAZAN

SAINT LOUIS, MO
NPI1912543885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: MO  2019044273)
Enumeration Date2019-11-26
Last Update Date2019-11-26
Business Address
SHANNON BAZAN BCBA
650 OFFICE PKWY
SAINT LOUIS, MO 63141-7103
Phone number: 314-650-0206
Mailing Address
SHANNON BAZAN BCBA
9 HORSESHOE CT
WRIGHT CITY, MO 63390-3725
Phone number: 314-650-0206