Most Relevant Information
Provider Data
| NPI Number: | 1003534249 |
| Provider Name: | SHANNON HATCH RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-19-84099 |
Most Important Dates
| Enumeration Date: | 08/15/2022 |
| Last Updated: | 08/15/2022 |
Provider Practice Location
100 MAIN ST STE 100
DOVER
NH
038203835
Practice Location Phone/Fax
| Phone: | 6038125521 |
| Fax: | 8448668240 |
Provider Mailing Location
100 MAIN ST STE 100
DOVER
NH
038203835
Provider Mailing Phone/Fax
| Phone: | 6038125521 |
| Fax: | 8448668240 |