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Individual

SHELLEY CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
5820 VETERANS PKWY, COLUMBUS, GA 31904-3452
(706) 905-5525
Mailing address
5820 VETERANS PKWY, COLUMBUS, GA 31904-3452
(706) 905-5525

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-80516
106S00000X
Behavior Technician
RBT-19-82217
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-25-80516
BACB
Enumeration date
04/22/2019
Last updated
04/19/2025
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