Shannon Georgia Mayne
Shannon Georgia Mayne is a Behavior Technician in Costa Mesa, California. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
3186 Airway Ave Ste ACosta Mesa, CA 92626-4650
Phone: (714) 881-0427
Fax: (714) 327-0673
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1770292419 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 22, 2022 |
| Last updated in NPPES | February 7, 2025 |
| Certification date | February 7, 2025 |
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