Individual
SHELBY BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 CROSBY DR STE 300, BEDFORD, MA 01730-1423
(978) 737-3760
Mailing address
6060 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1907
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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