Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst |
NPI | 1033675855 |
---|---|
Provider Name | Ms. Shelby Anne Horton |
First Address | Millville, NJ 08332-7136 |
Second Address | Millville, NJ 08332-7136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2019 |
Last Update Date | 17/02/2019 |