Shelby Leigh Eaton
Individual provider Active NPI Behavior Technician · La Fayette, GA
NPI 1124886726 · NPPES record last updated Mar 8, 2024
Key facts
- NPI
- 1124886726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1208 W North Main St
La Fayette, GA 30728-2130 - Phone
- (706) 996-9397
- NPI assigned
- Mar 8, 2024
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | GA | Yes |
Addresses
Primary practice location
1208 W North Main St
La Fayette, GA 30728-2130
Mailing address
1208 W North Main St
La Fayette, GA 30728-2130
Phone (706) 996-9397
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- Eric L Helwig OD PC
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All providers in La Fayette, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2024. 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.