Shelby Johnson

NPI #1114606951 in Prestonsburg, Kentucky

Provider Information

NPI Number: 1114606951
Entity Type: Individual
Name: Shelby Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 17, 2023
Last Updated: Jul 17, 2023

Practice Location

Address: 631 S LAKE DR
City: Prestonsburg
State: Kentucky
ZIP Code: 41653-1339
Phone: (606) 430-2256

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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