Shannon McRoberts
Behavior Technician in Gilroy, CA. Individual provider (NPI-1).
NPI number1760084875
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1760084875
- Entity type
- Individual (NPI-1)
- Name
- Shannon McRoberts
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 12, 2020
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
9360 N Name Uno Ste 130Gilroy, CA 95020-3535
Phone 408-843-9350
Mailing address
2467 Shafer AveMorgan Hill, CA 95037-9720
Phone 408-465-6409
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