Johnson, Shannon M

Johnson, Shannon M is an individual health care provider with primary practice located at 4849 Lone Tree Way Ste C , Antioch CA 94531-8644. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Johnson, Shannon M can be contacted via phone (303) 989-8169.

Contact Information

Primary practice address
4849 Lone Tree Way Ste C Antioch CA 94531-8644
Phone: (303) 989-8169
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California

Profile Details

NPI number 1013458645
LBN Legal business name Johnson, Shannon M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2017
Last updated Nov 13th, 2020 - about 5 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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