NPI 1104286236 · live from the CMS NPI Registry
Shelli Drake
Behavior Analyst in Hallowell, ME. National Provider Identifier 1104286236, active.
NPI record
| NPI | 1104286236 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 276 Whitten Rd, Suite 2, Hallowell, ME 04347 |
| Practice phone | 207-621-6760 |
| Enumerated | March 2, 2016 |
| Last updated | March 2, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.