Chirillo, Shelby Katherine

Chirillo, Shelby Katherine is an individual health care provider with primary practice located at 8027 Cooper Creek Blvd Ste 103 , University Park FL 34201-3002. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Chirillo, Shelby Katherine can be contacted via phone (941) 477-2080.

Contact Information

Primary practice address
8027 Cooper Creek Blvd Ste 103 University Park FL 34201-3002
Phone: (941) 477-2080
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 019708500 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1083180285
LBN Legal business name Chirillo, Shelby Katherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2018
Last updated Jun 28th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083180285 NPPES
Florida MEDICAID 019708500

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