Shannon Erin Powers
Behavior Technician in Springfield, OR. Individual provider (NPI-1).
NPI number1982108478
StatusActive
Last updated in NPPESMar 20, 2018
Details
- NPI
- 1982108478
- Entity type
- Individual (NPI-1)
- Name
- Shannon Erin Powers
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2018
- Last updated
- Mar 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3995 Marcola RdSpringfield, OR 97477-7948
Phone 541-726-1465
Mailing address
3995 Marcola RdSpringfield, OR 97477-7948
Phone 541-726-1465
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