Individual
SHELBY VOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10231 THE GROVE AVE., UNIT 208, BATON ROUGE, LA 70836
(614) 565-4223
Mailing address
10231 THE GROVE AVE., UNIT 208, BATON ROUGE, LA 70836
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXX981291156
BLUE CROSS BLUE SHIELD
NC
Enumeration date
06/04/2021
Last updated
06/04/2021
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