Shannon Willis, M.S.W., B.C.B.A

NPI 1801249479 · on the registry since 2016 · sole proprietor

Practice

Address: 5777 W Century Blvd
Suite 675
Los Angeles, CA 90045
Phone: (310) 649-0499
Organisation at this address: Compumed, Inc
Compumed, Inc.
Wings Of Refuge
Wings Of Refuge
Sequence46, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California