Individual
SHAY SUSAN SHIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
8156 BARINGER RD, BATON ROUGE, LA 70817-6013
(225) 930-8961
Mailing address
21600 OXNARD ST, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
L-625
LA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/17/2020
Last updated
03/18/2022
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