Most Relevant Information
Provider Data
| NPI Number: | 1003476037 |
| Provider Name: | SHELBY BRAND |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2019 |
| Last Updated: | 06/20/2019 |
Provider Practice Location
23 CROSBY DR STE 300
BEDFORD
MA
017301423
Practice Location Phone/Fax
| Phone: | 9787373760 |
| Fax: |
Provider Mailing Location
6060 N COLLEGE AVE
INDIANAPOLIS
IN
462201907
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |