Wesley Kyle Shatley

NPI #1487151924 in Kennett, Missouri

Provider Information

NPI Number: 1487151924
Entity Type: Individual
Name: Wesley Kyle Shatley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 11, 2018
Last Updated: Apr 11, 2018

Practice Location

Address: 925 HIGHWAY VV
City: Kennett
State: Missouri
ZIP Code: 63857-0071
Phone: (573) 888-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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