Shelli Drake
Individual provider Active NPI Behavior Analyst · Hallowell, ME
NPI 1104286236 · NPPES record last updated Mar 2, 2016
Key facts
- NPI
- 1104286236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 276 Whitten Rd
Suite 2
Hallowell, ME 04347-3035 - Phone
- (207) 621-6760
- Fax
- (207) 621-6764
- NPI assigned
- Mar 2, 2016
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
276 Whitten Rd
Suite 2
Hallowell, ME 04347-3035
Mailing address
276 Whitten Rd
Suite 2
Hallowell, ME 04347-3035
Phone (207) 621-6760
Other providers in Hallowell, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2016. 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.