Individual
DR. SHELLEY WALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, BCBA
Contact information
Practice address
3623 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 940-5100
(762) 208-7512
Mailing address
3623 CALVIN DR, COLUMBUS, GA 31904-7915
(706) 940-5100
(762) 208-7512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/25/2017
Last updated
06/14/2022
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