Shannon Rae Banaszak
Shannon Rae Banaszak is a Behavior Technician in Crestview, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
851 N Wilson StCrestview, FL 32536-2639
Phone: (850) 607-6910
Fax: (850) 607-6932
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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 | 1861171852 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 17, 2023 |
| Last updated in NPPES | July 17, 2023 |
| Certification date | July 17, 2023 |
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Haley Alford
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Kaitlen Autrey
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Andrea Barnhill
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Brayden J Bates
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301 E Hickory Ave, Crestview, FL 32536-2737 · (850) 331-3782
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Alisia Michelle Bolin
851 N Wilson St, Crestview, FL 32536-2639 · (850) 398-6021