Individual
SHELLY LEANN WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4323 OLD MILL RD STE B, ANDERSON, SC 29621-1117
(270) 777-9283
(270) 777-9283
Mailing address
PO BOX 51322, C-3, BOWLING GREEN, KY 42102-5622
(843) 670-1777
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24711
SC
103K00000X
Behavior Analyst
—
SC
Other
Enumeration date
10/05/2015
Last updated
06/27/2017
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