Shantnecia Bonner Valid NPI
Individual provider · Behavior Technician · O Fallon, IL
- NPI
- 1891504403
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2025-01-07
- Last updated
- 2025-01-07
Practice location
634 N Main St Ste 4
O Fallon, IL 62269-3746
(618) 726-5870