Individual
BAILEY SHEGGEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
181 WHIPPLE ST, PRESCOTT, AZ 86301-1705
(320) 583-8948
Mailing address
710 LINCOLN AVE, PRESCOTT, AZ 86301-1900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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