Individual
DR. COURTNEY SOWLE SHELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1701 ADAMS ST, MANKATO, MN 56001-4895
(507) 565-0150
Mailing address
145 LONG ST, MANKATO, MN 56001-5254
(563) 503-9934
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52637
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/16/2018
Last updated
12/08/2025
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