Individual
LINDA KAY SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 AMSTERDAM ST, MENA, AR 71953-4452
(479) 234-6197
Mailing address
808 BLAKE ST, MENA, AR 71953-2645
(479) 234-6197
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB418107
AR
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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