Individual
SHELBY NICOLE HARDISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
6394 COLLEGE BLVD, OVERLAND PARK, KS 66211-1506
(800) 345-0448
Mailing address
6394 COLLEGE BLVD, OVERLAND PARK, KS 66211-1506
(800) 345-0448
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38659
KS
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/13/2019
Last updated
06/12/2020
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