Shady Louise Anderson, BT

NPI #1164155313 in Gaylord, Michigan

Provider Information

NPI Number: 1164155313
Entity Type: Individual
Name: Shady Louise Anderson, BT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BT
Enumeration Date: Jul 6, 2022
Last Updated: Jul 6, 2022

Practice Location

Address: 940 N CENTER AVE
City: Gaylord
State: Michigan
ZIP Code: 49735-9318
Phone: (844) 854-1116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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