Shannon Stover
Behavior Technician in Mount Clemens, MI. Individual provider (NPI-1).
NPI number1407572902
StatusActive
Last updated in NPPESOct 17, 2022
Details
- NPI
- 1407572902
- Entity type
- Individual (NPI-1)
- Name
- Shannon Stover
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2022
- Certification date
- Oct 17, 2022
- Last updated
- Oct 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
42 S Wilson BlvdMount Clemens, MI 48043-2146
Phone 586-265-1778
Mailing address
42 S Wilson BlvdMount Clemens, MI 48043-2146
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Other Behavior Technician providers in Mount Clemens, MI
- Brooklyn Marie CliftonNPI 1073439493
- Jacqueline Rena' DarbyNPI 1881570398
- Cynthia Hunter, BSNPI 1780168120
- Cynthia LockwoodNPI 1396330338
- Joel Glenwood MorrisNPI 1093559601
- Marcy Jennifer PreeceNPI 1407667876
- Paige TysickNPI 1770456618
All 8 Behavior Technician providers in Mount Clemens · All 1,029 providers in Mount Clemens
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