Shelby Amador Nava, RBT-16-24139

Individual provider Active NPI Behavior Technician · El Dorado Hills, CA

NPI 1104306745 · NPPES record last updated Aug 14, 2018

Key facts

NPI
1104306745
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1106 Windfield Way Ste 1
El Dorado Hills, CA 95762-9360
Phone
(916) 357-5837
NPI assigned
Aug 14, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Montessori Autism Programs & Services, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1106 Windfield Way Ste 1
El Dorado Hills, CA 95762-9360

Mailing address

1106 Windfield Way Ste 1
El Dorado Hills, CA 95762-9360
Phone (916) 357-5837

Other providers in El Dorado Hills, CA

All providers in El Dorado Hills, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.