Individual
ASHLEE FAYE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 29TH AVE SE, PUYALLUP, WA 98374-1450
(209) 507-1784
Mailing address
2205 29TH AVE SE, PUYALLUP, WA 98374-1450
(209) 507-1784
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61645739
WA
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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