Individual
AMY ANGELA SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7564 BROWNS MILL RD, CHAMBERSBURG, PA 17202-9252
(717) 375-1517
Mailing address
455 AIRPORT RD, SHIPPENSBURG, PA 17257-9689
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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