Shannon Michelle Braender
Behavior Technician in San Diego, CA. Individual provider (NPI-1).
NPI number1669970083
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1669970083
- Entity type
- Individual (NPI-1)
- Name
- Shannon Michelle Braender
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2018
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
625 Pennsylvania AveSan Diego, CA 92103-4321
Phone 858-603-4812
Mailing address
2828 Madison Ave Apt 1San Diego, CA 92116-3113
Phone 619-948-8829
Other practice locations
2828 Madison Ave Apt 1
San Diego, CA 92116-3113
San Diego, CA 92116-3113
Phone 619-948-8829
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