Micah Shannon
Micah Shannon is a Behavior Technician in Fort Wayne, Indiana. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
2270 Lake AveFort Wayne, IN 46805-5359
Phone: (260) 444-5649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1376340711 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 25, 2025 |
| Last updated in NPPES | February 25, 2025 |
| Certification date | February 25, 2025 |
| Mailing address | 2270 Lake Ave, Fort Wayne, IN 46805-5359 |
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