Shantele Burton
Individual provider Active NPI Early Intervention Provider Agency · Stroudsburg, PA
NPI 1093237133 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1093237133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 710 Avenue C
Stroudsburg, PA 18360-1957 - Phone
- (570) 620-6499
- NPI assigned
- Jul 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
710 Avenue C
Stroudsburg, PA 18360-1957
Mailing address
710 Avenue C
Stroudsburg, PA 18360-1957
Phone (570) 620-6499
Other providers in Stroudsburg, PA
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- Simone Brown
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- Richard Alan Bullock Jr.
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- Kimberly Calafiore
- Kellyann Cameron
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All providers in Stroudsburg, PA · Early Intervention Provider Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.