KEVIN MICHAEL SHELTON

PROVIDENCE, UT
NPI1104403773
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: UT  RBT-20-115527)
Enumeration Date2021-03-28
Last Update Date2021-03-28
Business Address
KEVIN MICHAEL SHELTON RBT
545 W 465 N STE 100
PROVIDENCE, UT 84332-8004
Phone number: 435-753-6606
Mailing Address
KEVIN MICHAEL SHELTON RBT
1443 W 800 N STE 103
OREM, UT 84057-2878
Phone number: 801-655-4950