Individual
SHELBY PIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5112 NW TAYLOR RD, BREMERTON, WA 98312-8837
(360) 373-2536
Mailing address
5415 SE NORTH ST, PORT ORCHARD, WA 98367-9092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BA-705
HI
103K00000X
Behavior Analyst
Primary
BA61475360
WA
Other
Enumeration date
06/24/2021
Last updated
11/09/2023
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