Shiley David
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1104795186
StatusActive
Last updated in NPPESOct 30, 2025
Details
- NPI
- 1104795186
- Entity type
- Individual (NPI-1)
- Name
- Shiley David
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2025
- Certification date
- Oct 30, 2025
- Last updated
- Oct 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
633 W 5th St Ste 2613Los Angeles, CA 90071-2005
Phone 877-264-6747
Mailing address
295 89th St Ste 306Daly City, CA 94015-1656
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