Individual
SHELBY RENEE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1413 W 31ST AVE, ANCHORAGE, AK 99503-3624
(907) 306-4465
Mailing address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824
(907) 726-5330
(907) 726-5366
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
159778
AK
Other
Enumeration date
12/06/2017
Last updated
04/07/2020
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