Lili-Shelby Fenaud
Individual provider Active NPI Behavior Technician · Decatur, AL
NPI 1437725439 · NPPES record last updated Jun 1, 2021
Key facts
- NPI
- 1437725439
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 21-169925 (AL)
- Practice address
- 2314 6TH Ave SE Ste D
Decatur, AL 35601-6565 - Phone
- (256) 621-2244
- Fax
- (800) 607-1947
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21-169925 | AL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Autism Center LLC | Past |
Accepting new patients | |
| Alabama Autism Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 21-169925 | AL | Yes |
Addresses
Primary practice location
2314 6TH Ave SE Ste D
Decatur, AL 35601-6565
Mailing address
1100 Enterprise Way NW Apt 1304
Huntsville, AL 35806-3021
Other providers in Decatur, AL
- Loring Farmer
- Patricia Kay Farmer
- David Alex Farris
- Gary Ross Farris
- Phillip Shannon Farris
- Matthew Lewis Figh
- Frank Fischer
- Lauren Fitch
- Laura H Fite
- Sienna Fleming-Coppedge
All providers in Decatur, AL · Behavior Technician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2021. 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.