Individual
SHELBY PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 25TH ST NW, CLEVELAND, TN 37311-3958
(615) 444-0597
Mailing address
55 25TH ST NW, CLEVELAND, TN 37311-3958
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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