Sherease Alston

Individual provider Active NPI Behavior Technician · Fulton, MD

NPI 1265150452 · NPPES record last updated Aug 22, 2022

Key facts

NPI
1265150452
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683
Phone
(866) 352-5010
NPI assigned
Aug 15, 2022
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683

Mailing address

8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683

Other providers in Fulton, MD

All providers in Fulton, MD · Behavior Technician in Maryland

Sources for this page

Verify at the official NPI Registry.