Individual
SHELBY HOLTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1501 W TAPP RD, BLOOMINGTON, IN 47403-3459
(812) 330-4460
Mailing address
1923 S LIBERTY DR, BLOOMINGTON, IN 47403-5146
(812) 330-4460
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-58191
—
Other
Enumeration date
10/02/2020
Last updated
11/04/2024
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