Shaundria Coleman

Individual provider Active NPI Behavior Technician · Crawfordsville, IN

NPI 1003796756 · NPPES record last updated Sep 4, 2025

Key facts

NPI
1003796756
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
719 N Englewood Dr
Crawfordsville, IN 47933-9744
Phone
(765) 307-2104
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

719 N Englewood Dr
Crawfordsville, IN 47933-9744

Mailing address

719 N Englewood Dr
Crawfordsville, IN 47933-9744
Phone (765) 307-2104

Other providers in Crawfordsville, IN

All providers in Crawfordsville, IN · Behavior Technician in Indiana

Sources for this page

Verify at the official NPI Registry.