Most Relevant Information
Provider Data
| NPI Number: | 1003524497 |
| Provider Name: | SHANNON LEE SWEET |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | CAAR.CG.61376742 |
Most Important Dates
| Enumeration Date: | 11/14/2022 |
| Last Updated: | 11/14/2022 |
Provider Practice Location
4526 FEDERAL AVE
EVERETT
WA
982032132
Practice Location Phone/Fax
| Phone: | 4253496200 |
| Fax: |
Provider Mailing Location
4526 FEDERAL AVE
EVERETT
WA
982032132
Provider Mailing Phone/Fax
| Phone: | 4253496200 |
| Fax: |