Biancamano, Shannon

Biancamano, Shannon is an individual health care provider with primary practice located at 3420 E Shea Blvd Ste 200 , Phoenix AZ 85028-3348. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Biancamano, Shannon can be contacted via phone (520) 485-8846.

Contact Information

Primary practice address
3420 E Shea Blvd Ste 200 Phoenix AZ 85028-3348
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 1980790

Profile Details

NPI number 1497217269
LBN Legal business name Biancamano, Shannon
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2019
Last updated Apr 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497217269 NPPES
Other 1980790 RBT

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