| Shelly And Shelly's Llc | |
|
2335 S 225 E Winchester IN 47394-8771 | |
| (765) 546-1216 | |
| Not Available |
| Full Name | Shelly And Shelly's Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 2335 S 225 E, Winchester, Indiana |
| Authorized Official Name and Position | Shelly L Monfort (MEMBER) |
| Authorized Official Contact | 7655461216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly And Shelly's Llc 2335 S 225 E Winchester IN 47394-8771 Ph: (765) 546-1216 | Shelly And Shelly's Llc 2335 S 225 E Winchester IN 47394-8771 Ph: (765) 546-1216 |
| NPI Number | 1184193948 |
|---|---|
| Provider Enumeration Date | 11/21/2018 |
| Last Update Date | 11/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184193948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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