SHANNON BANASZAK

Behavior Technician

Active Individual
NPI: 1861171852

Practice Address

851 N WILSON ST
Crestview, FL 32536

Phone: (850) 607-6910

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1861171852 is the National Provider Identifier for SHANNON BANASZAK, a Behavior Technician provider located in Crestview, FL. This NPI was enumerated on July 17, 2023.
SHANNON BANASZAK practices at 851 N WILSON ST, Crestview, FL 32536.

Quick Facts

NPI
1861171852
Type
Individual
Enumerated
Jul 17, 2023
Last Updated
Jul 17, 2023

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