List, Shelley

List, Shelley is an sole proprietor health care provider with primary practice located at 7741 Gannon Ave , Saint Louis MO 63130-2822. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is her primary health care specialty. List, Shelley can be contacted via phone (314) 725-9078.

Contact Information

Primary practice address
7741 Gannon Ave Saint Louis MO 63130-2822
Phone: (314) 725-9078
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1-03-1348 Missouri
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 1-03-1348 Missouri

Profile Details

NPI number 1518136589
LBN Legal business name List, Shelley
Credentials M. ED. BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2008
Last updated Feb 25th, 2008 - about 17 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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