| Shannon Paula Wellness | |
|
28 Riverside Ave Apt 9c Red Bank NJ 07701-1054 | |
| (917) 971-0000 | |
| Not Available |
| Full Name | Shannon Paula Wellness |
|---|---|
| Speciality | Behavior Analyst |
| Location | 28 Riverside Ave Apt 9c, Red Bank, New Jersey |
| Authorized Official Name and Position | Shannon Williams (OWNER) |
| Authorized Official Contact | 9179710000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Paula Wellness 28 Riverside Ave Apt 9c Red Bank NJ 07701-1054 Ph: (917) 971-0000 | Shannon Paula Wellness 28 Riverside Ave Apt 9c Red Bank NJ 07701-1054 Ph: (917) 971-0000 |
| NPI Number | 1629779590 |
|---|---|
| Provider Enumeration Date | 03/16/2023 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629779590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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