Healthcare Provider Details

I. General information

NPI: 1699605030
Provider Name (Legal Business Name): SHELBY LYNN CHRISTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7280 NW 87TH TER STE 208
KANSAS CITY MO
64153-9803
US

IV. Provider business mailing address

1272 BOND ST STE 100 STE 100
NAPERVILLE IL
60563-3084
US

V. Phone/Fax

Practice location:
  • Phone: 512-256-0313
  • Fax:
Mailing address:
  • Phone: 855-444-5664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: