Elliott, Shelby

Elliott, Shelby is an individual health care provider with primary practice located at 6761 Stage Rd , Bartlett TN 38134-3867. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Elliott, Shelby can be contacted via phone (901) 379-8827.

Contact Information

Primary practice address
6761 Stage Rd Bartlett TN 38134-3867
Fax: (901) 244-6153
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-112963 Tennessee

Profile Details

NPI number 1417583139
LBN Legal business name Elliott, Shelby
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2020
Last updated Mar 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417583139 NPPES
Tennessee Other RBT-20-112963 BACB- REGISTERED BEHAVIOR TECHNICIAN

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