Most Relevant Information
Provider Data
| NPI Number: | 1003504879 |
| Provider Name: | SHELBIE CUSHARD |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/28/2023 |
| Last Updated: | 04/28/2023 |
Provider Practice Location
3186 AIRWAY AVE STE A
COSTA MESA
CA
926264650
Practice Location Phone/Fax
| Phone: | 7148810427 |
| Fax: | 7143270673 |
Provider Mailing Location
3186 AIRWAY AVE STE A
COSTA MESA
CA
926264650
Provider Mailing Phone/Fax
| Phone: | 7148810427 |
| Fax: | 7143270673 |