Individual
SHELBY LYNN EDMONSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
17520 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3903
(225) 300-6710
Mailing address
17520 OLD JEFFERSON HWY, PRAIRIEVILLE, LA 70769-3903
(225) 300-6710
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-904
LA
Other
Enumeration date
02/27/2018
Last updated
12/16/2024
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