Shelly and Shelly's LLC

NPI #1184193948 in Winchester, Indiana

Provider Information

NPI Number: 1184193948
Entity Type: Organization
Organization Name: Shelly and Shelly's LLC
Primary Specialty: Behavior Technician
Enumeration Date: Nov 21, 2018
Last Updated: Nov 21, 2018

Practice Location

Address: 2335 S 225 E
City: Winchester
State: Indiana
ZIP Code: 47394-8771
Phone: (765) 546-1216

Authorized Official

Name: SHELLY L MONFORT
Title: MEMBER
Phone: (765) 546-1216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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