Individual
SHELBY N ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3761 JOHNSON HALL DR, MASONIC HOME, KY 40041-9998
(502) 633-1007
(502) 805-1511
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 805-1511
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67935
KY
106S00000X
Behavior Technician
RBT-19-107909
KY
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
02/19/2019
Last updated
02/06/2024
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