Shannon Nevada Fairless, BSW, CMII
Shannon Nevada Fairless, BSW, CMII is a Behavior Technician in Woodward, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
- Specialties on file
- 3
Practice location Address checks out
1222 10th StWoodward, OK 73801-3156
Phone: (580) 256-8615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
| Mental Health Counselor | Taxonomy 101YM0800X |
Record details
| NPI number | 1629305776 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BSW , CMII |
| Sole proprietor | Yes |
| NPI enumerated | November 11, 2009 |
| Last updated in NPPES | June 4, 2024 |
| Certification date | June 4, 2024 |
Other providers in Woodward
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Pamela A Chapman
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Denise Dixon
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Brenda J Hickman
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Nichelle L Inderlied
1222 10th St Ste 211, Woodward, OK 73801-3156 · (580) 256-8615
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Patricia Peters
1222 10th St, Woodward, OK 73801-3156 · (580) 256-9700
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Mr. Michael Edward Shuman Jr.
1222 10th St, Woodward, OK 73801-3156 · (580) 256-8615