Shelby Leann Bourgeois
NPI #1225729833 in Summerville, South Carolina
Provider Information
- NPI Number
- 1225729833
- Entity Type
- Individual
- Name
- Shelby Leann Bourgeois
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 16, 2023
- Last Updated
- May 16, 2023
Practice Location
- Address
- 328 GLEN ST
- City
- Summerville
- State
- South Carolina
- ZIP Code
- 29483-4653
- Phone
- (843) 460-2605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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