Individual
SHELBY EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2818
(757) 644-6391
Mailing address
7460 CENTRAL BUSINESS PARK DR, NORFOLK, VA 23513-2818
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
07/30/2024
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