Jessica Jean Shannon, RBT
Behavior Technician in Omaha, NE. Individual provider (NPI-1).
NPI number1982425641
StatusActive
Last updated in NPPESOct 24, 2024
Details
- NPI
- 1982425641
- Entity type
- Individual (NPI-1)
- Name
- Jessica Jean Shannon
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2024
- Certification date
- Oct 21, 2024
- Last updated
- Oct 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5906 S 169th StreetOmaha, NE 68135-2813
Phone 402-812-5975 · Fax 402-891-8860
Mailing address
5906 S 169th StreetOmaha, NE 68135-2813
Phone 402-812-5975 · Fax 402-891-8860
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