Individual
SHELBY LYNN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 COMMERCE BLVD, DICKSON CITY, PA 18519-1759
(570) 489-5561
Mailing address
851 COMMERCE BLVD, DICKSON CITY, PA 18519-1759
(570) 489-5561
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52059856
—
PA
Enumeration date
07/06/2022
Last updated
07/06/2022
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