Individual
SHELLEY GRADDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14500 E 42ND ST S STE 220, INDEPENDENCE, MO 64055-4700
(816) 478-7800
Mailing address
14500 E 42ND ST S STE 220, INDEPENDENCE, MO 64055-4700
(816) 478-7800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
2355S0801X
Speech-Language Assistant
Primary
2026026602
MO
Other
Enumeration date
07/29/2021
Last updated
07/09/2026
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