1295462273 NPI number — SHELBY MAY BEHAVIOR CONSULTING LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295462273 NPI number — SHELBY MAY BEHAVIOR CONSULTING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHELBY MAY BEHAVIOR CONSULTING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295462273
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/18/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21750 HARDY OAK STE
Provider Second Line Business Mailing Address:
STE 104 PMB 91059
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78258-4946
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-239-7181
Provider Business Mailing Address Fax Number:
726-201-0751

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1985 STACEY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
POTEET
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78065-4683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-935-5966
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/01/2022

Additional Information

Authorized Official

Authorized Official Last Name:
NUNN
Authorized Official First Name:
SHELBY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/ BCBA
Authorized Official Telephone Number:
210-239-7181

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com