Individual
SHELBY GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 GENERAL TAYLOR DR, HAHNVILLE, LA 70057-2025
(504) 427-9387
Mailing address
102 GENERAL TAYLOR DR, HAHNVILLE, LA 70057-2025
(504) 427-9387
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-119
LA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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