Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Shelly

Individual provider Behavior Technician · NPI 1134855026

Blake Shelly is a Behavior Technician in Fort Smith, Arkansas. Licensed in Arkansas. Registered with an NPI since 2022.

Licensed in
AR
In the registry since
2022

Practice location Address checks out

5604 Ellsworth Rd
Fort Smith, AR 72903-3224
Phone: (479) 926-4673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 1-12-11455 (AR)

Record details

NPI number1134855026
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing addressPo Box 10921, Fort Smith, AR 72917-0921

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