Shenelle Ebony Allen
Individual provider Active NPI Developmental Therapist · Miramar, FL
NPI 1225680713 · NPPES record last updated Apr 6, 2024
Key facts
- NPI
- 1225680713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmental Therapist 222Q00000X
- Practice address
- 2630 Sabal Palm Dr
Miramar, FL 33023-4517 - Phone
- (954) 589-4243
- NPI assigned
- Jul 15, 2019
- 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 | FL | ||
| Developmental Therapist | 222Q00000X | FL | Yes |
Addresses
Primary practice location
2630 Sabal Palm Dr
Miramar, FL 33023-4517
Mailing address
2630 Sabal Palm Dr
Miramar, FL 33023-4517
Phone (954) 589-4243
Other providers in Miramar, FL
- All Womens Healthcare of Southern Florida Inc
- All-Med Management Systems LLC
- All-Med Management Systems of New York, Ipa
- Allcare Home Health LLC
- Naila Allen
- Mary Cheryl Alley
- Alliance Home Care Services, LLC.
- Alliance Medical Center Inc
- Allpeds, LLC.
- Manuela Almaguer
All providers in Miramar, FL · Developmental Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 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.