Individual
SHELBY RENEE DESAULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
421 WINDCHIME PL, COLORADO SPRINGS, CO 80919-1984
(888) 754-0398
Mailing address
6416 NW 5TH WAY, FORT LAUDERDALE, FL 33309-6112
(888) 754-0398
(954) 982-6491
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
06/23/2025
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