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Shannon Bazan, BCBA
NPI 1912543885 · on the registry since 2019 · sole proprietor
Practice
- Address
- 650 Office Pkwy
Saint Louis, MO 63141 - Phone
- (314) 650-0206
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-26
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 Missouri