Shallie, LLC

NPI #1619750064 in Lake Mary, Florida

Provider Information

NPI Number: 1619750064
Entity Type: Organization
Organization Name: Shallie, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 17, 2023
Last Updated: Jan 9, 2024

Practice Location

Address: 305 WAYMONT CT
City: Lake Mary
State: Florida
ZIP Code: 32746-3566
Phone: (407) 731-0940

Authorized Official

Name: MRS. SHAVETA SURI, BCBA
Title: OWNER
Phone: (407) 731-0940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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