Shelby Corey Siefert

NPI #1043989973 in Putnam, Connecticut

Provider Information

NPI Number: 1043989973
Entity Type: Individual
Name: Shelby Corey Siefert
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 13, 2021
Last Updated: Sep 13, 2021

Practice Location

Address: 62 PROVIDENCE PIKE
City: Putnam
State: Connecticut
ZIP Code: 06260-2412
Phone: (818) 241-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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