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Shelby Edmeads

Behavior Technician in Seminole, FL. Individual provider (NPI-1).

NPI number1992335947
StatusActive
Last updated in NPPESJan 17, 2020

Details

NPI
1992335947
Entity type
Individual (NPI-1)
Name
Shelby Edmeads
Sex
Female
Sole proprietor
No
Enumeration date
Jan 17, 2020
Certification date
Jan 17, 2020
Last updated
Jan 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-20-110117FLYes

Practice location

7777 131st St Ste 7
Seminole, FL 33776-4015

Phone 727-492-5369

Mailing address

5059 Foxbridge Cir N Apt 274
Clearwater, FL 33760-3275

Phone 609-805-7975

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