Individual
SHELBY LYNN DOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 671-5738
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(810) 599-2129
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401002345
MI
Other
Enumeration date
09/04/2018
Last updated
03/11/2024
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