Russell, Shelby

Russell, Shelby is an individual health care provider with primary practice located at 1900 E Los Angeles Ave # 100 , Simi Valley CA 93065-6560. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Russell, Shelby can be contacted via phone (805) 537-0620.

Contact Information

Primary practice address
1900 E Los Angeles Ave # 100 Simi Valley CA 93065-6560
Phone: (805) 537-0620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X C39308 California

Profile Details

NPI number 1356914345
LBN Legal business name Russell, Shelby
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2021
Last updated Jul 19th, 2021 - about 3 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.

Request for update

Popular Providers