Amy Angela Shively, RBT
Behavior Technician in Chambersburg, PA. Individual provider (NPI-1).
NPI number1164099438
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1164099438
- Entity type
- Individual (NPI-1)
- Name
- Amy Angela Shively
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Jun 3, 2021
- Last updated
- Jun 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
7564 Browns Mill RdChambersburg, PA 17202-9252
Phone 717-375-1517
Mailing address
455 Airport RdShippensburg, PA 17257-9689
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