Individual
SHELBY KERN BUSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8620 REFUGE POINT CIR, NORTH CHARLESTON, SC 29420-6879
(843) 270-3992
Mailing address
130 CORRIDOR RD UNIT 3292, PONTE VEDRA BEACH, FL 32004-7833
(904) 638-6388
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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