SHANNON WHITE

FAIRFIELD, CA
NPI1972035731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2017-03-31
Last Update Date2019-06-05
Business Address
SHANNON WHITE
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-639-4675
Mailing Address
SHANNON WHITE
2101 COURAGE DR
FAIRFIELD, CA 94533-6717
Phone number: 707-639-4675
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