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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELBY ANNALISA BROADNAX

Active Sole Proprietor

SHELBY ANNALISA BROADNAX is a Behavior Analyst healthcare provider located in ANTIOCH, California. NPI 1922613660 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · ANTIOCH, CA

Registration Details

NPI Number
1922613660
Provider Type
Individual
Gender
Female
NPI Issued
Sep 10, 2020 (5.923603962288 yrs)
Last Updated
Sep 10, 2020
Sole Proprietor
Yes

Practice Information

Address
1029 DONCASTER DR
ANTIOCH, CA, 945094713
Browse CA providers · Browse ZIP 94509
Phone
9258646583
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in ANTIOCH, CA

Name Credential NPI
CYNTHIA C WHITE M.ED. 1699046714
TERA ELIZABETH UPPSTAD B.A. 1730554502
HUGO AVILES 1407210859
RUTH OWUSU 1710334172
MS. LYNN ELYSE GALLIANO BCBA 1477006955
LAUREN MILLER 1205381670
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.