Dawnita Michell Shively, BCBA

NPI #1235498551 in Radcliff, Kentucky

Provider Information

NPI Number: 1235498551
Entity Type: Individual
Name: Dawnita Michell Shively, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: May 7, 2012
Last Updated: Nov 25, 2014

Practice Location

Address: 663 N DIXIE BLVD
Address 2: SUITE E
City: Radcliff
State: Kentucky
ZIP Code: 40160-1376
Phone: (614) 593-0382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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