Individual
SHELBY TAYLOR GOTTULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2307 SE B ST STE 1, BENTONVILLE, AR 72712-5314
(479) 802-4798
Mailing address
4000 S DIXIELAND RD APT B302, ROGERS, AR 72758-0027
(479) 269-1814
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
AR
106S00000X
Behavior Technician
Primary
—
AR
Other
Enumeration date
01/05/2026
Last updated
01/15/2026
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