Individual
ALISHIA MARIE SHELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4905 N UNION BLVD STE 200, COLORADO SPRINGS, CO 80918-4058
(970) 219-9089
Mailing address
16645 SAGECREEK RD, PEYTON, CO 80831-7911
(719) 200-9315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-09690
CO
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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