| NPI | 1659014702 |
|---|---|
| Other Name | SHELBY EVANGELISTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-67411) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 21-176087) |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2023-09-19 |