Most Relevant Information
Provider Data
| NPI Number: | 1003450552 |
| Provider Name: | SHANNON BEIERLORZER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/28/2019 |
| Last Updated: | 10/28/2019 |
Provider Practice Location
3645 E MCLEOD RD
BELLINGHAM
WA
982268700
Practice Location Phone/Fax
| Phone: | 3606762220 |
| Fax: |
Provider Mailing Location
3645 E MCLEOD RD
BELLINGHAM
WA
982268700
Provider Mailing Phone/Fax
| Phone: | 3606762220 |
| Fax: |