Individual
SHELBY HAMMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W LEE ST, ENTERPRISE, AL 36330-2424
(334) 792-5020
Mailing address
201 W LEE ST, ENTERPRISE, AL 36330-2424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB790296
BACB790296
—
Enumeration date
08/02/2022
Last updated
08/02/2022
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