DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SHELBY LYNN EDMONSTON BCBA, LBA

MEDICARE: SHELBY LYNN EDMONSTON BCBA, LBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystL-904LA

General Provider Information

NPI Number : 1023519758
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY LYNN EDMONSTON BCBA, LBA
Provider Business Mailing Address
First Line : 17520 OLD JEFFERSON HWY
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-3903
Country : US
Telephone Number : 225-300-6710
Fax Number :
Provider Business Practice Location Address
First Line : 17520 OLD JEFFERSON HWY
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-3903
Country : US
Telephone Number : 225-300-6710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2018
Last Update Date : 12/16/2024

Similar Medicare Providers

1780542787 — DESTINY A HAWKINS
Practice Location Address:
17520 OLD JEFFERSON HWY
PRAIRIEVILLE, LA
70769-3903
Practice Phone: 225-300-6710
Practice Fax:
1750885364 — ALEXUS JAKAI SMITH BCABA
Practice Location Address:
17520 OLD JEFFERSON HWY
PRAIRIEVILLE, LA
70769-3903
Practice Phone: 225-300-6710
Practice Fax: 225-300-6712
1841847712 — STEFAN MATTHEWS
Practice Location Address:
17520 OLD JEFFERSON HWY
PRAIRIEVILLE, LA
70769-3903
Practice Phone: 225-300-6710
Practice Fax:
1275151417 — MADISON PASSMORE MS, CCC-SLP
Practice Location Address:
17520 OLD JEFFERSON HWY
PRAIRIEVILLE, LA
70769-3903
Practice Phone: 225-300-6710
Practice Fax: 225-300-6712
1841906328 — KEAGAN PAIGE HAYNES
Practice Location Address:
17520 OLD JEFFERSON HWY
PRAIRIEVILLE, LA
70769-3903
Practice Phone: 225-300-6710
Practice Fax:
1003597626 — VICTORIA MICHEL BOESEN MA, BCABA
Practice Location Address:
17520 OLD JEFFERSON HWY
PRAIRIEVILLE, LA
70769-3903
Practice Phone: 225-300-6710
Practice Fax:

Directions to “ SHELBY LYNN EDMONSTON BCBA, LBA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.