NPI 1003546672

Shannon Kaminski

Practitioner Behavior Technician Media, PA

Practice location

Address: 606 E Baltimore Pike Fl 2, Media, PA 19063-1751
Phone: (610) 864-7376
Fax: (877) 599-3340
Mailing address: PO Box 631280, Cincinnati, OH 45263-1280

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-22-220036 (PA)

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Registry record

NPI: 1003546672
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2022
Record last updated: 15 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.