Individual
SHELBY LYNN POPKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
800 CHERRY ST, COLUMBIA, MO 65201-4824
(573) 200-6745
Mailing address
800 CHERRY ST, COLUMBIA, MO 65201-4824
(573) 200-6745
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2023039078
MO
106S00000X
Behavior Technician
RBT-21-160106
MO
Other
Enumeration date
03/31/2021
Last updated
09/27/2023
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