Herbert Lex Shallcross IV
Assistant Behavior Analyst in Philadelphia, PA. Individual provider (NPI-1).
NPI number1730680331
StatusActive
Last updated in NPPESFeb 28, 2018
Details
- NPI
- 1730680331
- Entity type
- Individual (NPI-1)
- Name
- Herbert Lex Shallcross IV
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2018
- Last updated
- Feb 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
6012 Ridge AvePhiladelphia, PA 19128-1643
Phone 215-487-0904 · Fax 215-487-3716
Mailing address
6012 Ridge AvePhiladelphia, PA 19128-1643
Phone 215-487-0904 · Fax 215-487-3716
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