| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SHELBY RAE MCCALLISTER | 1821729138 | 2022-06-19 |
Shelby Rae Mccallister is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1821729138. Registration indicates Shelby Rae Mccallister is a provider of services with a specialization in Behavioral Health & Social Service Providers, Behavior Technician (Behavior Technician, Behavioral Health & Social Service Providers) (Behavior Technician, )
| Entity Type | Individual |
| Provider Name | Shelby Rae Mccallister |
| Practice Office Address | 818 PATRIOT PKWY APT 103 ROCK HILL, SC US |
| Practice Office Telephone | 8106604165 |
| Mailing Address | 7108 S KANNER HWY STUART, FL 349977462 US |
| Code | Practice | License No State |
|---|---|---|
| 106S00000X PRIMARY | Behavioral Health & Social Service Providers Behavior Technician Behavior Technician Behavioral Health & Social Service Providers Behavior Technician | RBT-22-220354
|