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1356572812
SHEA ELIZABETH SELF
FLORENCE, AL
NPI
1356572812
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Former Name
SHEA ELIZABETH DAHLBERG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-08-4512)
Enumeration Date
2009-07-31
Last Update Date
2016-10-01
Business Address
-- SHEA ELIZABETH SELF BCBA
2624 HOUGH RD
FLORENCE, AL 35630-1747
Phone number: 256-275-7089
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Mailing Address
-- SHEA ELIZABETH SELF BCBA
2624 HOUGH RD
FLORENCE, AL 35630-1747
Phone number: 256-275-7089
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