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Individual

SHELBI KATE BEEDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
6 EAGLE CTR STE 1, O FALLON, IL 62269-1945
(618) 206-8816
Mailing address
941 BLUE HERON CT, BELLEVILLE, IL 62223-3257
(618) 694-7753

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
RBT-19-97302
MO

Other

Enumeration date
06/25/2021
Last updated
10/12/2021
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