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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON PRIDDY-MARIN, M.S., BCBA, LBA

Active Sole Proprietor

SHANNON PRIDDY-MARIN, M.S., BCBA, LBA is a Behavior Analyst healthcare provider located in WEBSTER, Kentucky. NPI 1447550298 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · WEBSTER, KY

Registration Details

NPI Number
1447550298
Provider Type
Individual
Gender
Female
NPI Issued
Oct 27, 2010 (15.754806942924 yrs)
Last Updated
Feb 24, 2014
License
0064 (KY)
Sole Proprietor
Yes

Practice Information

Address
228 EMMANUEL WAY LN
WEBSTER, KY, 401765037
Browse KY providers · Browse ZIP 40176
Phone
3105609270
Primary Specialty
Behavior Analyst
103K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.