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1912543885
SHANNON BAZAN
SAINT LOUIS, MO
NPI
1912543885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: MO 2019044273)
Enumeration Date
2019-11-26
Last Update Date
2019-11-26
Business Address
SHANNON BAZAN BCBA
650 OFFICE PKWY
SAINT LOUIS, MO 63141-7103
Phone number: 314-650-0206
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Mailing Address
SHANNON BAZAN BCBA
9 HORSESHOE CT
WRIGHT CITY, MO 63390-3725
Phone number: 314-650-0206
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